Portable ultrasound imaging data

ABSTRACT

A portable ultrasound imaging system includes a scan head coupled by a cable to a portable battery-powered data processor and display unit. The scan head enclosure houses an array of ultrasonic transducers and the circuitry associated therewith, including pulse synchronizer circuitry used in the transmit mode for transmission of ultrasonic pulses and beam forming circuitry used in the receive mode to dynamically focus reflected ultrasonic signals returning from the region of interest being imaged.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a continuation of U.S. application Ser. No.09/619,123 filed Jul. 19, 2000, now U.S. Pat. No. 7,500,952, which is acontinuation-in-part of U.S. application Ser. No. 09/123,991 filed Jul.28, 1998, now U.S. Pat. No. 6,106,472, which is a continuation of U.S.application Ser. No. 08/971,938 filed Nov. 17, 1997, now U.S. Pat. No.5,957,846, which is a continuation of PCT/US96/11166 filed Jun. 28,1996, now U.S. Pat. No. 5,964,709, which is a continuation-in-part ofU.S. application Ser. No. 08/599,816 filed Feb. 12, 1996, now U.S. Pat.No. 5,690,114, which is a continuation-in-part of U.S. application Ser.No. 08/496,804 filed Jun. 29, 1995, now U.S. Pat. No. 5,590,658. Theentire content of the above applications are being incorporated hereinby reference.

BACKGROUND OF THE INVENTION

Conventional ultrasound imaging systems typically include a handheldscan head coupled by a cable to a large rack-mounted console processingand display unit. The scanhead typically includes an array of ultrasonictransducers which transmit ultrasonic energy into a region being imagedand receive reflected ultrasonic energy returning from the region. Thetransducers convert the received ultrasonic energy into low-levelelectrical signals which are transferred over the cable to theprocessing unit. The processing unit applies appropriate beam formingtechniques such as dynamic focusing to combine the signals from thetransducers to generate an image of the region of interest.

Typical conventional ultrasound systems can have transducer arrays whichconsist of 128 ultrasonic transducers. Each of the transducers isassociated with its own processing circuitry located in the consoleprocessing unit. The processing circuitry typically includes drivercircuits which, in the transmit mode, send precisely timed drive pulsesto the transducer to initiate transmission of the ultrasonic signal.These transmit timing pulses are forwarded from the console processingunit along the cable to the scan head. In the receive mode, beam formingcircuits of the processing circuitry introduce the appropriate delayinto each low-level electrical signal from the transducers todynamically focus the signals such that an accurate image cansubsequently be generated.

A schematic block diagram of an imaging array 18 of N piezoelectricultrasonic transducers 18(1)-18(N) as used in an ultrasound imagingsystem is shown in FIG. 1A. The array of piezoelectric transducerelements 18(1)-18(N) generate acoustic pulses which propagate into theimage target (typically a region of human tissue) or transmitting mediawith a narrow beam. The pulses propagate as a spherical wave with aconstant velocity. Acoustic echoes in the form of returning signals fromimage points P or reflectors are detected by the same array 18 oftransducer elements or another receiving array and can be displayed in afashion to indicate the location of the reflecting structure P.

The acoustic echo from the point P in the transmitting media reacheseach transducer element 18(1)-18(N) of the receiving array after variouspropagation times. The propagation time for each transducer element isdifferent and depends on the distance between each transducer elementand the point P. This holds true for typical ultrasound transmittingmedia, i.e. soft bodily tissue, where the velocity of sound is assumed(or relatively) constant. Thereafter, the received information isdisplayed in a manner to indicate the location of the reflectingstructure.

In two-dimensional B-mode scanning, the pulses can be transmitted alonga number of lines-of-sight as shown in FIG. 1A. If the echoes aresampled and their amplitudes are coded as brightness, a grey scale imagecan be displayed on a CRT. An image typically contains 128 such scannedlines at 0.75° angular spacing, forming a 90° sector image. Since thevelocity of sound in water is 1.54×10⁵ cm/sec, the round-trip time to adepth of 16 cm will be 208 μs. Thus, the total time required to acquiredata along 128 lines of sight (for one image) is 26.6 ms. If othersignal processors in the system are fast enough to keep up with thisdata acquisition rate, two-dimensional images can be produced at ratescorresponding to standard television video. For example, if theultrasound imager is used to view reflected or back scattered soundwaves through the chest wall between a pair of ribs, the heart pumpingcan be imaged in real time.

The ultrasonic transmitter is typically a linear array of piezoelectrictransducers 18(1)-18(N) (typically spaced half-wavelength apart) forsteered arrays whose elevation pattern is fixed and whose azimuthpattern is controlled primarily by delay steering. The radiating(azimuth) beam pattern of a conventional array is controlled primarilyby applying delayed transmitting pulses to each transducer element18(1)-18(N) in such a manner that the energy from all the transmitterssummed together at the image point P produce a desired beam shape.Therefore, a time delay circuit is needed in association with eachtransducer element 18(1)-18(N) for producing the desired transmittedradiation pattern along the predetermined direction.

For a given azimuth angle, as can be seen in FIG. 1B, there can be twodifferent transmitting patterns: a “single-focus” and a “zone-focus”pattern. The single-focus method employs a single pulse focused atmid-range of the image line along a particular line of sight. In asingle pulse mode, the azimuth focus depth can be electronically varied,but remains constant for any predetermined direction. In zone-focusoperation, multiple pulses, each focused at a different depth (zone),are transmitted along each line of sight or direction. For multiplepulse operation, the array of transmitters is focused at M focal zonesalong each scan direction, i.e., a series of M pulses is generated, P₀,P₁, . . . , P_(M-1), each pulse being focused at its corresponding rangeR₀, R₁, . . . , R_(M-1), respectively. The pulses are generated in arepeated sequence so that, after start up, every Mth pulse either beginsa look down a new direction or corresponds to the initial pulse P₀ torepeat the series of looks down the present direction. For thezone-focused mode, a programmable time-delay circuit is needed inassociation with each transducer element to produce beam patternsfocused at different focal zones.

As previously described, the same array 18 of transducer elements18(1)-18(N) can be used for receiving the return signals. The reflectedor echoed beam energy waveform originating at the image point reacheseach transducer element after a time delay equal to the distance fromthe image point to the transducer element divided by the assumedconstant speed of the waveform of signals in the media. Similar to thetransmitting mode, this time delay is different for each transducerelement. At each receiving transducer element, these differences in pathlength should be compensated for by focusing the reflected energy ateach receiver from the particular image point for any given depth. Thedelay at each receiving element is a function of the distance measuredfrom the element to the center of the array and the viewing angulardirection measured normal to the array. It should be noted that inultrasound, acoustic pulses generated by each transducer are notwideband signals and should be represented in terms of both magnitudeand phase.

The beam forming and focusing operations involve forming a sum of thescattered waveforms as observed by all the transducers, but in this sum,the waveforms must be differentially delayed so that they will allarrive in phase and in amplitude in the summation. Hence, a beam formingcircuit is required which can apply a different delay on each channel,and vary that delay with time. Along a given direction, as echoes returnfrom deeper tissue, the receiving array varies its focus continuallywith depth. This process is known as dynamic focusing.

FIGS. 2A-2C show schematic block diagrams of three differentconventional imaging or beam focusing techniques. A non-programmablephysical lens acoustic system 50 using an acoustic lens 51 is shown inFIG. 2A. In turn, dynamic focusing systems where associated signalprocessing electronics are employed to perform real-time time delay andphase delay focusing functions are respectively shown in FIGS. 2B and2C. FIG. 2B shows a time delay system 52 using time delay elements 53,and FIG. 2C shows a phase delay system 54 using phase delay elements 55.

In the lensless systems of FIGS. 2B and 2C, the signal processingelements 53, 55 are needed in association with each receiving transducerelement, thus defining processing channels, to provide time delay andfocus incident energy from a field point to form an image. Accordingly,a beam forming circuit is required which can provide a different delayon each processing channel, and to further vary that delay with time.Along a predetermined direction, as echoes return from distances furtheraway from the array of transducer elements, the receiving array variesits focus continually with depth to perform dynamic focusing.

After the received beam is formed, it is digitized in a conventionalmanner. The digital representation of each received pulse is a timesequence corresponding to a scattering cross section of ultrasonicenergy returning from a field point as a function of range at theazimuth formed by the beam. Successive pulses are pointed in differentdirections, covering a field of view from −45° to +45°. In some systems,time averaging of data from successive observations of the same point(referred to as persistence weighting) is used to improve image quality.

For example, in an ultrasound imaging system operating at a 2-5 MHzfrequency range, an electronic circuit capable of providing up to 10 to20 μs delay with sub-microsecond time resolution is needed for thedesired exact path compensation. As shown in FIG. 2B, a delay line isinherently matched to the time-delay function needed for dynamicfocusing in a lensless ultrasound system.

More specifically, in an exemplary ultrasound imaging system with a 5MHz operating frequency and an array of 128 transducer elements onhalf-wavelength centers, a straightforward delay implementation requireseach processing channel/transducer element to include either a 480-stagedelay line with a clock period programmable with a 25 ns resolution or a480-stage tapped delay line clocked at 40 MHz in conjunction with aprogrammable 480-to-one time-select switch to set the appropriate delay.There are two problems associated with these conventional techniques.First, a simple variable-speed clock generator has not been developed todate. Secondly, for an N-stage tapped delay line, the area associatedwith the tap select circuit is proportional to N², thus such a circuitwould require a large amount of microchip area to realize an integratedtap architecture.

Due to the difficulty and complexity associated with the generation ofthe control circuits of the conventional approach, only a few time-delaystructures could be integrated on one microchip, and therefore a largenumber of chips would be needed to perform a multi-element dynamic beamforming function. For these reasons, none of the prior art ultrasoundimaging systems utilize the straightforward time-delay implementation.Instead, a plane-wave mixer approximation is used. In this approximationprocess, the total delay is separated into two parts: an analogplane-wave mixer technique is used to approximate the required finedelay time and a true coarsely spaced delay line is used to achieve thecoarse delay time.

In accordance with the plane-wave approximation, the fine delay can beachieved by modifying the phase of AC waves received by each receivingprocessing channel and implemented by heterodyning the received wavesfrom each receiving transducer element with different phases of a localoscillator, i.e., creating analog phase shifting at each processingchannel. Specifically, by selecting a local oscillator with a properphase angle of the form cos(ω₀t+Ω_(n)(t)), where Ω_(n) is chosen tosatisfy the expression Ω_(n)(t)=ω₀(T′_(n)(t)−T′_(n)(t)), T_(n)(t) is theideal compensating delay and T′_(n) (t) is a coarsely quantizedapproximation of T_(n). It will be appreciated that when the mixeroutput is delayed by T′_(n), the phase of one of its intermediatefrequency (IF) sidebands provides phase coherence among all theprocessing channels.

In the conventional implementation of the aforementioned technique, atap select is used which connects any received down-conversion mixeroutput to any tap on a coarsely spaced, serially connected delay line.The tap select is essentially a multiposition switch that connects itsinput to one of a number of output leads. One output lead is providedfor each tap on the delay line. Therefore, each mixer output can beconnected to a few coarsely spaced taps on a delay line, and all the tapoutputs can be summed together coherently. However, for an exemplary 5MHz operation, if a single-mixer arrangement as described above is used,a delay line with delay resolution less than one microsecond is needed.

In summary, the conventional technique described heretofore involvesheterodyning the received signals with an oscillator output by selectinga local oscillator frequency so as to down convert the output to an IFfrequency. This down converted signal is then applied to another mixer.By selecting the proper phase angle of the second oscillator, the phaseof the intermediate frequency waves produced by the second heterodyningis controlled. The output of the second mixer is then connected througha tap select to only one, or at most a few, coarsely spaced taps on adelay line during the focal scanning along each direction.

The aforementioned approximation technique is used due to the fact thatgiven an image that is somewhat out of focus, the image can be focusedin an economically feasible manner by utilizing readily availabletechniques such as analog mixers and RC networks. Unfortunately, themixer approximation method suffers from image misregistration errors aswell as signal loss relative to the ideally-focused (perfect delay)case.

Modern ultrasound systems require extensive complex signal processingcircuitry in order to function. For example, hundreds of delay-and-sumcircuits are needed for dynamic beam forming. Also, pulsed or continuousDoppler processors are needed for providing two-dimensional depth andDoppler information in color flow images, and adaptive filters areneeded for clutter cancellation. Each of these applications requiresmore than 10,000 MOPS (million operations per second) to be implemented.Even state-of-the-art CMOS chips only offer several hundred MOPS perchip, and each chip requires a few watts of electric power. Thus, anultrasound machine with a conventional implementation requires hundredsof chips and dissipates hundreds of watts of power. As a result,conventional systems are implemented in the standard large rack-mountedcabinets.

Another drawback in conventional ultrasound systems is that the cableconnecting the scan head to the processing and display unit is requiredto be extremely sophisticated and, hence, expensive. Since all the beamforming circuitry is located in the console, all of the low-levelelectrical signals from the ultrasonic transducers must be coupled fromthe scan head to the processing circuitry. Because the signals are ofsuch a low level, they are extremely susceptible to noise, crosstalk andloss. With a typical transducer array of 128 transducers, the cablebetween the scan head and the processing and display console is requiredto contain 128 low-noise, low-crosstalk and low-loss coaxial cables.Such a cable requires expensive materials and extensive assembly timeand is therefore very expensive.

SUMMARY OF THE INVENTION

The present invention is directed to a portable ultrasound imagingsystem and method. The imaging system of the invention includes ahand-held scan head coupled to portable processing circuitry by a cable.The scan head includes a housing which houses the array of ultrasonictransducers which transmit the ultrasonic signals into the region ofinterest being imaged and which receive reflected ultrasonic signalsfrom the region of interest and which convert the received ultrasonicsignals into electrical signals. The housing of the scan head alsocontains the beam forming circuitry used in the imaging system of theinvention to combine the electrical signals from the ultrasonictransducers into an electronic representation of the region of interest.The electronic representation of the region of interest is forwardedover an interface via the system cable to data processing and displaycircuitry which uses the representation to generate an image of theregion of interest.

In one embodiment, the portable processing circuitry is implemented inthe form of a lap-top computer which can include an integrated keyboard,a PCMCIA standard modem card for transferring image data and a flip-topflat panel display, such as an active matrix LCD. The lap-top computer,and, therefore the entire system, can be powered by a small lightweightbattery. The entire system, including scan head, cable and computer istherefore very lightweight and portable. The total weight of the systempreferably does not exceed ten pounds. The interior of the scan head canalso include a Faraday shield to shield the electronics of the scan headfrom interference from extraneous RF sources.

In one embodiment, the system also includes an interface unit betweenthe scan head and the lap-top computer. Instead of being connecteddirectly to the computer, the system cable is connected to the interfaceunit. Another cable couples the interface unit to the computer. Theinterface unit performs control and signal/data processing functions notperformed by the computer. This reduces the overall processing load onthe computer.

In another embodiment, higher quality images are displayed on a cathoderay tube (CRT) display. In that embodiment, signals from the scan headare transferred over the cable to a processor such as a personalcomputer or lap-top which is in turn interfaced to the CRT display.Signals received from the scan head are received by the processor, whichprocesses the signals and generates appropriate display signals andforwards them to the CRT.

To allow implementation of the functions of the ultrasound imagingsystem of the invention in the scan head, much of the signal processingcircuitry associated with the ultrasonic transducers is integrated onsmall CMOS chips. For example, the beam forming circuitry used tointroduce individual delays into the received ultrasonic signals can beimplemented on a single chip for a 64-element array. Thus, two chips areused for 128-element systems. The pulse synchronizing circuitry used togenerate transducer driving pulses can also be implemented on a chip. Inaddition, high voltage driver circuits used in the transmit mode todrive the transducers and preamplifying circuits and gain controlcircuits used in a receive mode to condition the electrical signals fromthe transducers can also be integrated on single chips. Also, controlcircuits such as multiplexer circuits for selecting signals from thetransducers and other such control circuits can be formed on singlechips.

In one preferred embodiment of the invention, the signal processingcircuitry in the scan head is implemented in low-power, high-speed CMOStechnology. The integrated circuitry can also be adapted to be operatedat lower voltages than conventional circuitry. As a result, the powerdissipated in the integrated circuitry and, consequently, the thermaleffects caused thereby, are substantially lower than those ofconventional circuits. In one embodiment, the total power dissipated inthe scan head is less than two watts. This allows the temperature of thescan head to be maintained below 41° C. With such low power dissipationand temperature, the circuits can be implemented in the relatively smallvolume of the scan head housing without suffering any degradation inperformance due to thermal effects. The patient being examined alsosuffers no harmful thermal effects. Also, because the system requirescomparatively little power, it can be powered by a battery located inthe data processor and display unit.

As discussed above, in ultrasound systems, individual delays aretypically introduced into each individual transmitted ultrasonic pulseand into each signal from each transducer indicative of receivedreflected ultrasonic energy. These individual delays are used to ensurethat the image of the region of interest is properly focused.

The form or pattern of delays introduced into each transducer elementare affected by the shape of the array and the desired region scanpattern. For example, in phased arrays, different individual beamsteering delays are introduced into each pulse and/or each returningsignal for every scan line to produce a properly focused image of acurved region.

Linear and curve linear arrays are typically flat or curved. The arrayscan be used to perform linear scanning in which a uniform pattern ofdelays is introduced to all the transducers. The delays are the same foreach scan line. Curved arrays have different delay patterns for eachscan line. The present invention is also capable of performingtrapezoidal region scans.

In one embodiment, a linear array is used in a sub-aperture scanningprocess. For example, in this embodiment, the transducer array caninclude 192 adjacent transducers arranged in a line. During thesub-aperture scanning, only a small portion of the transducers, e.g.,64, are used to generate and receive signals. The transducers atopposite ends of the linear array are used to perform the phased-arrayscanning process to produce a curved image region at opposite ends ofthe overall trapezoidal-shaped scan region. Since the phased-arrayapproach is used at the ends of the array, different delay patterns mustbe introduced for each individual scan line. Between the phased-arrayportions, linear scanning is used. Consequently, during the linearscanning portion of the process, one set of delays can be used for allscan lines. Hence, the trapezoidal scanning embodiment of the inventioninvolves a combination of phased array scanning at both ends of theregion and linear scanning in the middle of the region.

In a typical ultrasound imaging system, electronic circuitry capable ofproviding up to 10-20 μs delay with sub-microsecond time resolution isneeded to provide precise signal path compensation. In one preferredembodiment of the present invention, this wide range of delays with fineresolution is provided by a dual-stage programmable tapped delay lineusing CCD technology. The first stage introduces a fine delay and thesecond stage introduces a coarse delay. The delays are controlled bytapping clock frequencies, the fine delay being controlled by a higherclock frequency than the coarse delay. In one embodiment, the fine delayclock frequency is set at eight times the ultrasound signal frequency,and the coarse delay clock frequency is set at one-tenth the fine delayclock frequency. The clock frequencies are separately controllable tofacilitate varying the ultrasound signal frequency to vary imagingdepth.

Such devices are described in copending U.S. patent application Ser. No.08/496,915, entitled, “Integrated Beam Forming and Focussing ProcessingCircuit for Use in an Ultrasound System,” by Alice M. Chiang andcopending U.S. patent application Ser. No. 08/496,463, entitled,“Integrated Delay Processing Circuit,” by Alice M. Chiang, both of whichwere filed on Jun. 29, 1995. Both patent applications are incorporatedherein by reference.

In one embodiment, the frequency of the ultrasound signals is variableto allow for imaging at varying depths. This can be accomplished byinternal or external adjustment of transducer signal driving frequency.Alternatively, for wider variations in frequency, the system of theinvention accommodates different scan heads having arrays which operateat different frequencies. Also, the scan head of the invention can beprovided with a facility for changing arrays based on the desiredoperating frequency.

In an alternative preferred embodiment of the present invention, thedelay processing circuits utilize a single charge-coupled device delayline with a programmable input sampling selection circuit. Theprogrammable input sampling selection circuit allows nonuniformlysampled imaging signals to be loaded into the programmable delay line toprovide the required variable delay.

In this embodiment, each delay processing circuit includes aprogrammable input sampling circuit and a programmable delay unit.According to a user specified selection pattern, the programmablesampling circuit converts a continuous-time input waveform into asequence of discrete-time analog sample data, which can be uniformly ornonuniformly spaced, and which are loaded into the programmable delayunit. A control circuit is included to provide programmable delay toeach selected sampled data. A summation circuit is incorporated forsumming the sampled, delayed data from each of the delay units toproduce a focused image.

In one embodiment, the control circuit used to control the delay of eachsample includes a counter and a storage circuit, which can be a shiftregister or a memory circuit. The shift register can be formed using CCDtechnology or other logic circuit technology. Before each scan line isgenerated, the storage circuit is loaded with a series of data valueswhich define the delays used for each focus point along a scan line.Under control of a sampling clock, counter outputs are compared one at atime to values stored in the shift register. A matched value results ina sample being taken of the signal. Hence, by storing appropriate valuesin the memory circuit (shift register), sample delay can be controlled.

In one embodiment, the shift register also stores a value that addressesthe appropriate stage of the programmable delay line depending upon thepredetermined delay for the sample. Preferably, this delay tap value isstored as a series of data bits with the corresponding value used toprovide sampling delay as described above. In one embodiment, the twovalues are combined into a single data word comprising nine data bits,three for the sample delay selection and six for the delay tap selectionin the delay line. In one embodiment of the invention, each scan lineincludes 512 focus points. Thus, the shift register is a 512-stage 9-bitshift register. Alternatively, four bits can be used for sample delayselection and seven for the delay top selection, resulting in a512-stage 11-bit shift register being used.

In another embodiment, the 9-bit data words are compressed to permitmore efficient storage of the data. In this embodiment, instead ofstoring each individual delay, only the differences in delay betweenadjacent focus points are stored. Each first difference requires fewerbits to store than does the actual absolute delay value. In anotherembodiment, second differences, i.e., the difference between adjacentfirst differences, is stored at each register location. This requireseven fewer bits. To process each delay, a processor of the inventionreads each difference and integrates it to generate an actual delayvalue which is used to control both the sampling and tapping of thedelay line. In the first difference embodiment, a single summing stageis used to perform the integration. In the case of second differencestorage, a two-stage adder is used.

In one embodiment of the invention, a process referred to assub-aperture scanning can be implemented. Under this process, processingcircuits are shared by the transducers such that the total number ofprocessing circuits is fewer than the number of transducer elements. Forexample, the array can include 128 transducer elements but only 64processing channels. In this embodiment, a multiplexing process is usedwhereby only a portion of the 128 transducers, i.e., a “sub-aperture,”is used at one time. A multiplexing circuit is used to route signalsfrom the active transducers to the processing circuitry. In oneembodiment, 64 transducers are used at once, and they are serviced bythe 64 channels of processing circuitry. After image data is obtainedfor a first group of 64 transducers, a next group of transducers isactivated to collect more data. Typically, a sliding scanning process isused in which each successive group of 64 elements slides over oneelement, resulting in overlapping sub-aperture scanning regions. Duringsub-aperture scanning, a spatial windowing process is used to reduceimage clutter, i.e., energy in the image obtained through the side lobesrather than the main lobe of the array response. Either a dynamicallyvarying spatial window or a truncated non-varying spatial window can beused. However, it has been found that the truncated window is easier toimplement.

In this embodiment, to set the delays for each group of active elements,in the linear scanning mode, the same set of delays is downloaded tomemory for the sets of elements. As the sub-aperture moves to successivegroups, the digital words representing the individual delays areeffectively rotated through the memory and control circuits of eachprocessing channel. That is, for the first, group of elements, delaysets numbered 1-64 are loaded into processing channels 1-64,respectively. For the next set, delay sets 1-64 are loaded intoprocessing channels 2-64, 1, respectively. For the next set, delays 1-64are loaded into channels 3-64, 1-2, respectively, and so forth. Thisrotational multiplexing of delay data values substantially enhances theefficiency of the invention since the amount of memory required to storeall the delays is substantially reduced. The amount of hardware requiredis also reduced.

In another alternative preferred embodiment, an adaptive beam formingcircuit is used instead of the dual-stage delay line to provide therequired delays at the required resolution. In the adaptive beam formingtechnique, a feedback circuit senses summed received signals from atapped delay line and generates correction signals. The correctionsignals control individual multiplier weights in the beam formingcircuitry to adjust the summed signal and eliminate the effects ofclutter and interference from the image.

As described above, after the beam forming circuits dynamically focusand sum the signals from the ultrasonic transducers, the summed signalis forwarded over the system cable to the data processing and displaysubsystem of the imaging system. The data processing subsystem includes,among other things, demodulation, log compression and scan conversioncircuitry for converting the polar coordinates of received ultrasonicsignals to rectangular coordinates suitable for further processing suchas display. The scan conversion process of the present inventionprovides a higher quality image and requires far less complex circuitrythan that of prior systems.

In the scan conversion of conventional systems, the value of each pointon the (x,y) coordinate system is computed from the values of the fournearest neighbors on the polar (r,θ) array by simple linearinterpolation. This is accomplished by use of a finite state machine togenerate the (x,y) traversal pattern, a bi-directional shift register tohold the (r,θ) data samples and a large number of digital logic andmemory units to control the process and ensure that the correct samplesof (r,θ) data arrive for interpolation at the right time for each (x,y)point since the (x,y) data points are received asynchronously.

In the present invention, hardware complexity and cost are reduced byusing a number-theoretic scheme for reliably generating the (x,y) gridtraversal path in natural order, i.e., using the (r,θ) samples as theyare acquired. This provides greater flexibility and better fidelity tothe actual medical data since it permits the array traversals to bedesigned so that they do not impose an unnatural image reconstructionscheme. The approach taken in the present invention provides greaterflexibility in that multiple effective paths through the (x,y) array arepossible. As a result, full advantage is taken of different ultrasoundscan frequencies and, hence, imaging depth.

After the image data is scan converted, it is post processed inaccordance with its eventual intended presentation format. For example,the data can be digitized and formatted for presentation on a display.Alternatively, the (x,y) data values can be presented to a videocompression subsystem which compresses the data to allow for datatransmission to remote sites by modem or other known communicationmeans.

The ultrasound imaging system of the invention also allows for imagingof moving objects by including a pulsed Doppler processing subsystem.Data from the beam forming circuitry is forwarded to the pulsed Dopplerprocessor to generate data used to image the moving object. For example,the pulsed Doppler processor can be used to produce color flow mapimages of blood flowing through tissue.

In another preferred embodiment, the data processing and display unitcan be a single small battery-operated unit. It can be hand-held or wornclipped to the user or in the user's pocket. This, in conjunction withthe hand-held scan head of the invention, makes the ultrasound system ofthe invention completely portable.

The ultrasound imaging system of the invention has several advantagesover prior conventional systems. Because much of the signal processingcircuitry is integrated on small chips, the signal processing can becarried out in the scan head. Because of the proximity of thetransducers to the processing circuitry, signal loss is substantiallyreduced. This results in greatly improved system performance in the formof high-resolution high-quality images. Also, since the signal summingis also performed in the scan head, only a single or very few cableconductor lines are required to transmit image signals to the dataprocessing circuitry. The required cable is far less complex andexpensive than that used in conventional systems.

The portability of the imaging system of the invention is also a veryimportant asset. As described above, the system includes a smallhand-held scan head, a small cable and a portable data processing anddisplay unit such as a lap-top computer or hand-held computer withintegrated liquid crystal or other flat panel display and keypad. It canbe battery powered and hence can easily be carried to persons needingimmediate attention at remote locations to perform quick diagnosticevaluation. By using the video data compression of the invention, theimage data gathered at a remote site can be transferred by modem orwireless cellular link or other known means to a hospital forevaluation. Treatment instructions can then be relayed back to theoperator where the patient can be administered treatment immediately.

Another preferred embodiment of the invention involves the abovedescribed circuits and methods for a two-dimensional transducer arraydevice. The transducer device provides focusing in a second dimensionand can employ a coarser spacing between the rows of a multi-lineararray, for example.

Another preferred embodiment of the invention involves the use of anultrasound transducer device in an electronic stethoscope. This systemprovides both audio information to the user as well as an ultrasoundimaging capability.

Another preferred embodiment of the invention involves the use of anultrasound transducer device in a skinpatch. This can be used forcardiac monitoring by positioning the transducer device to transmit andreceive between the ribs of a patient.

Another preferred embodiment of the invention incorporates theprocessing and control circuitry described herein in a distal end of anultrasound internal probe or imaging catheter. This provides a moreflexible and less expensive imaging probe that is useful for bothdiagnosis and treatment.

BRIEF DESCRIPTION OF THE DRAWINGS

The foregoing and other objects, features and advantages of theinvention will be apparent from the following more particulardescription of preferred embodiments of the invention, as illustrated inthe accompanying drawings in which like reference characters refer tothe same parts throughout the different views. The drawings are notnecessarily to scale, emphasis instead being placed upon illustratingthe principles of the invention.

FIGS. 1A and 1B respectively show a block diagram of a conventionalimaging array as used in an ultrasound imaging system and associatedtransmitting pulse patterns of a single pulse and multiple pulses in azone-focused mode.

FIGS. 2A-2C respectively show block diagrams of three differentconventional imaging or beam focusing techniques involving optical lens,time delay and phase delay operations.

FIG. 3 is a schematic pictorial view of a preferred embodiment of theultrasound imaging system of the present invention.

FIG. 4 is a schematic functional block diagram of a preferred embodimentof the ultrasound imaging system of the invention.

FIG. 5 is a schematic functional block diagram of a preferred embodimentof the ultrasound scan head of the present invention.

FIG. 6 shows an operational block diagram of an array of the beamforming and focusing circuits in accordance with the present invention.

FIG. 7 shows a more detailed operational block diagram of an array ofthe beam forming and focusing circuits in accordance with the presentinvention.

FIG. 8 shows an operational block diagram of an alternative embodimentof the present invention in which each of the beam forming and focusingcircuits incorporates a latching circuit.

FIG. 9 shows a schematic block diagram of an exemplary embodiment of thelatching circuit used in accordance with the present invention.

FIG. 10 shows an operational block diagram of an alternative embodimentof the present invention in which the selected outputs of each beamforming and focusing circuit are applied to respective multipliercircuits.

FIG. 11 shows an operational block diagram of an alternative embodimentof the present invention in which a plurality of beam forming andfocusing circuits of the present invention are arranged for operation ina transmission mode.

FIG. 12 is a schematic functional block diagram of one preferredembodiment of adaptive beam forming circuitry in accordance with thepresent invention.

FIG. 13 shows a schematic block diagram of an alternative embodiment ofan array of beam forming and focusing circuits in accordance with thepresent invention using a programmable sample selection circuit and aprogrammable delay unit.

FIG. 14A shows a schematic diagram of an exemplary embodiment of amemory controlled programmable sample selection circuit used inaccordance with the present invention.

FIG. 14B contains timing diagrams for the sample selection circuit ofFIG. 14A.

FIG. 15 is a schematic detailed block diagram of an alternativepreferred embodiment of memory and control circuitry in accordance withthe invention.

FIG. 16 shows a schematic block diagram of an embodiment of the beamforming circuits of FIG. 13, in which CCD programmable delay lines areemployed.

FIG. 17 is a schematic detailed block diagram of another alternativepreferred embodiment of memory and control circuitry in accordance withthe invention.

FIG. 18 is a schematic detailed block diagram of another alternativepreferred embodiment of memory and control circuitry in accordance withthe invention.

FIG. 19 shows a block diagram of an alternative embodiment of thepresent invention in which the selected outputs of each of the beamforming and focusing circuits are applied to respective multiplierweighting circuits.

FIG. 20 shows a block diagram of an alternative embodiment of thepresent invention in which the multiplier weighting circuit is placed tothe input of the delay unit.

FIG. 21 shows a block diagram of an alternative implementation of thepresent invention, in which a finite-impulse response (FIR) filter fortime-domain interpolation is placed following the delay units.

FIG. 22 shows a block diagram of a FIR filter implementation in whichfixed-weight multipliers are used for input sample interpolation.

FIG. 23 shows a block diagram of an alternative FIR filterimplementation in which programmable multipliers are used for inputsample interpolation.

FIG. 24 is a schematic diagram showing the scan conversion process ofthe invention.

FIG. 25 is a schematic functional block diagram of a pulsed Dopplerprocessing unit in accordance with the present invention.

FIG. 26 is a schematic block diagram of a color flow map chipimplementation using dual pulsed Doppler processors in accordance withthe present invention.

FIG. 27 is a schematic functional block diagram of an alternativepreferred embodiment of the ultrasound imaging system of the invention.

FIG. 28 is a plot comparing truncated non-varying spatial windows anddynamic spatial windows used during sub-aperture scanning in accordancewith the present invention.

FIGS. 29A and 29B are schematic pictorial views of two user-selectabledisplay presentation formats used in the ultrasound imaging system ofthe invention.

FIG. 30A is a schematic illustration of the relationship between alinear ultrasound transducer array and a rectangular scan region inaccordance with the present invention.

FIG. 30B is a schematic illustration of the relationship between acurved ultrasound transducer array and a curved scan region inaccordance with the present invention.

FIG. 30C is a schematic illustration of the relationship between alinear ultrasound transducer array and a trapezoidal scan region inaccordance with the present invention.

FIG. 30D is a schematic illustration of a phased array scan region.

FIG. 31 is a schematic functional block diagram of a circuit board inaccordance with the present invention.

FIG. 32 is a schematic partial cross-sectional diagram of one embodimentof a linear scan head in accordance with the present invention.

FIG. 33 is a schematic side cross-sectional view of the scan head ofFIG. 31.

FIG. 34 is a schematic partial cross-sectional view of a scan head usinga curve transducer array in accordance with the present invention.

FIG. 35 is a schematic cross-sectional diagram of an internal ultrasonicprobe in accordance with the present invention.

FIG. 36 is a top-level flow diagram illustrating the logical flow of thesoftware used to control the operation of the present invention.

FIG. 37 is a perspective view of a two dimensional transducer array inaccordance with the invention.

FIG. 38 is a schematic illustration of an electronic ultrasoundstethoscope in accordance with the invention.

FIGS. 39A and 39B illustrate an ultrasound transducer patch system inaccordance with the invention.

FIGS. 40A and 40B illustrate an ultrasound probe or catheter inaccordance with the invention.

The foregoing and other objects, features and advantages of theinvention will be apparent from the following more particulardescription of preferred embodiments of the invention, as illustrated inthe accompanying drawings in which like reference characters refer tothe same parts throughout the different views. The drawings are notnecessarily to scale, emphasis instead being placed upon illustratingthe principles of the invention.

DETAILED DESCRIPTION OF THE INVENTION

A description of preferred embodiments of the invention follows.

FIG. 3 is a schematic pictorial view of the ultrasound imaging system 10of the present invention. The system includes a hand-held scan head 12coupled to a portable data processing and display unit 14 which can be alap-top computer. Alternatively, the data processing and display unit 14can include a personal computer or other computer interfaced to acathode ray tube (CRT) for providing display of ultrasound images. Thedata processor display unit 14 can also be a small, lightweight,single-piece unit small enough to be hand-held or worn or carried by theuser. The hand-held display is less than 1000 cm³ in volume andpreferably less than 500 cm³. Although FIG. 3 shows an external scanhead, the scan head of the invention can also be an internal scan headadapted to be inserted through a lumen into the body for internalimaging. For example, the head can be a transesophogeal probe used forcardiac imaging.

The scan head 12 is connected to the data processor 14 by a cable 16. Inan alternative embodiment, the system 10 includes an interface unit 13(shown in phantom) coupled between the scan head 12 and the dataprocessing and display unit 14. The interface unit 13 preferablycontains controller and processing circuitry including a digital signalprocessor (DSP). The interface unit 13 performs required signalprocessing tasks and provides signal outputs to the data processing unit14 and/or scan head 12.

The hand-held housing 12 includes a transducer section 15A and a handlesection 15B. The transducer section 15A is maintained at a temperaturebelow 41° C. so that the portion of the housing that is in contact withthe skin of the patient does not exceed this temperature. The handlesection 15B does not exceed a second higher temperature preferably 50°C. The hand-held scan-head occupies a volume of less than 1000 cm³ andpreferably less than 500 cm³, and is less than twenty centimeters inlength along it's major axis.

FIG. 4 is a schematic functional block diagram of one embodiment of theultrasound imaging system 10 of the invention. As shown in FIG. 4, thescan head 12 includes an ultrasonic transducer array 18 which transmitsultrasonic signals into a region of interest or image target 11, such asa region of human tissue, and receives reflected ultrasonic signalsreturning from the image target. The scan head 12 also includestransducer driver circuitry 20 and pulse synchronization circuitry 22.The pulse synchronizer 22 forwards a series of precisely timed anddelayed pulses to high voltage driver circuits in the drivers 20. Aseach pulse is received by the drivers 20, the high-voltage drivercircuits are activated to forward a high-voltage drive signal to eachtransducer in the transducer array 18 to activate the transducer totransmit an ultrasonic signal into the image target 11.

Ultrasonic echoes reflected by the image target 11 are detected by theultrasonic transducers in the array 18. Each transducer converts thereceived ultrasonic signal into a representative electrical signal whichis forwarded to preamplification circuits 24 and time-varying gaincontrol (TGC) circuitry 25. The preamp circuitry 24 sets the level ofthe electrical signals from the transducer array 18 at a level suitablefor subsequent processing, and the TGC circuitry 25 is used tocompensate for attenuation of the sound pulse as it penetrates throughhuman tissue and also drives the beam forming circuits 26 (describedbelow) to produce a line image. The conditioned electrical signals areforwarded to the beam forming circuitry 26 which introduces appropriatedifferential delay into each of the received signals to dynamicallyfocus the signals such that an accurate image can be created. Thesignals delayed by the beam forming circuitry 26 are summed to generatea single signal which is forwarded over the cable 16 to the dataprocessor and display unit 14. The details of the beam forming circuitry26 and the delay circuits used to introduce differential delay intoreceived signals and the pulses generated by the pulse synchronizer 22will be described below in detail.

In one preferred embodiment, the dynamically focused and summed signalis forwarded to an A/D converter 27 which digitizes the summed signal.Digital signal data is then forwarded from the A/D 27 over the cable 16to buffer memories 29 and 31. It should be noted that the A/D converter27 is not used in an alternative embodiment in which the analog summedsignal is sent directly over the system cable 16. The A/D converter 27is omitted from further illustrations for simplicity.

Data from buffer memory 31 is forwarded through demodulation and logcompression circuitry 40A to scan conversion circuitry 28 in the dataprocessing unit 14. The scan conversion circuitry 28 converts thedigitized signal data from the beam forming circuitry 26 from polarcoordinates (r,θ) to rectangular coordinates (x,y). After theconversion, the rectangular coordinate data is forwarded to post signalprocessing stage 30 where it is formatted for display on the display 32and/or for compression in the video compression circuitry 34. The videocompression circuitry 34 will be described below in detail.

Digital signal data is forwarded from buffer memory 29 to a pulsed orcontinuous Doppler processor 36 in the data processor unit 14. Thepulsed or continuous Doppler processor 36 generates data used to imagemoving target tissue 11 such as flowing blood. In the preferredembodiment, with pulsed Doppler processing, a color flow map isgenerated. The pulsed Doppler processor 36 forwards its processed datato the scan conversion circuitry 28 where the polar coordinates of thedata are translated to rectangular coordinates suitable for display orvideo compression.

A control circuit preferably in the form of a microprocessor 38 controlsthe operation of the ultrasound imaging system 10. The control circuit38 controls the differential delays introduced in both the pulsedsynchronizer 22 and the beam forming circuitry 26 via a memory 42 and acontrol line 33. In one embodiment, the differential delays areintroduced by programmable tapped CCD delay lines to be described belowin detail. The delay lines are tapped as dictated by data stored in thememory 42. The microprocessor 38 controls downloading the coarse andfine delay line tap data from memory 42 to on-chip memories in both thepulsed synchronizer 22 and the beam forming circuitry 26. In anotherembodiment, the delays are controlled by delay processing circuitrywhich includes programmable input sampling circuits coupled toprogrammable delay units as described in detail below.

The microprocessor 38 also controls a memory 40 which stores data usedby the pulsed Doppler processor 36 and the scan conversion circuitry 28.It will be understood that memories 40 and 42 can be a single memory orcan be multiple memory circuits. The microprocessor 38 also interfaceswith the post signal processing circuitry 30 and the video compressioncircuitry 34 to control their individual functions. The videocompression circuitry 34 as described below in detail compresses data topermit transmission of the image data to remote stations for display andanalysis via a transmission channel. The transmission channel can be amodem or wireless cellular communication channel or other knowncommunication means.

The portable ultrasound imaging system 10 of the invention canpreferably be powered by a battery 44. The raw battery voltage out ofthe battery 44 drives a regulated power supply 46 which providesregulated power to all of the subsystems in the imaging system 10including those subsystems located in the scan head 12. Thus, power tothe scan head is provided from the data processing and display unit 14over the cable 16.

FIG. 5 is a detailed schematic functional block diagram of oneembodiment of the scan head 12 used in the ultrasound imaging system 10of the invention. As described above, the scan head 12 includes an arrayof ultrasonic transducers labeled in FIG. 3 as 18-(1), 18-(2), . . . ,18-(N), where N is the total number of transducers in the array,typically 128. Each transducer 18(1)-18(N) is coupled to a respectiveprocessing channel 17(1)-17(N).

Each processing channel 17(1)-17(N) includes a respective pulsesynchronizer 22(1)-22(N) which provides timed activation pulses to arespective high voltage driver circuit 20(1)-20(N) which in turnprovides a driving signal to a respective transducer 18(1)-18(N) in thetransmit mode. Each processing channel 17(1)-17(N) also includesrespective filtered preamplification circuits 24(1)-24(N) which includevoltage clamping circuits which, in the receive mode, amplify and clampsignals from the transducers 18(1)-18(N) at an appropriate voltagelevel. The time varying gain control circuitry (TGC) 25(1)-25(N)controls the level of the signals, and the beam forming circuitry26(1)-26(N) performs dynamic focusing of the signals by introducingdifferential delays into each of the signals as described below indetail. The outputs from beam forming circuits 26(1)-26(N) are summed ata summing node 19 to generate the final focused signal which istransmitted over the cable 16 to the data processor and display unit 14for subsequent processing.

In the present invention, one embodiment of the beam forming andfocusing circuit 26 can be integrated on a single microchip and utilizescascaded charge-coupled device (CCD) tapped delay lines to provideindividual coarse and fine delays resulting in a wide range of delayswith fine time resolution. This embodiment of the beam forming system ofthe invention, referred to herein as charge domain processing (CDP)circuitry, includes a plurality of processing circuits which, in areceiving mode, differentially delay signals representative of imagewaveforms received as reflected ultrasonic energy from the target objectin order to generate a focused image. In a transmitting mode, theprocessing circuits differentially delay signals, which are to betransmitted as ultrasonic energy to a target object by the array 18 oftransducers 18(1)-18(N), in order to generate a focused directionalbeam.

Each of the processing circuits includes a first delay line having aplurality of delay units operable in the receiving mode for receiving animage waveform and converting same into sampled data such as chargepackets. In the transmitting mode, the first delay line receives theimaging signals and converts them into sampled data such as chargepackets. A selection control circuit is operable for reading the sampleddata from a selected first delay unit of the first delay line so as tocorrespond to a selected first time delay to accommodate fine delayresolution of the image waveform or imaging signals. A second delay linehaving a plurality of delay units is operable for sensing the sampleddata from the selected first delay unit. The control circuit is furtheroperable for reading the sampled data from a selected second delay unitof said second delay line so as to correspond to a selected second delaytime to accommodate coarse delay resolution of the image waveform orimaging signals.

In the receiving mode, a summation circuit is provided for summing thesampled data from each of the selected second delay units in each of theprocessing circuits in order to produce a focused image. In thetransmitting mode, an output circuit is provided for converting thesampled data from each of the selected second delay units in each of theprocessing circuits into signals representative of the focuseddirectional beam.

The beam forming and focusing operations involve forming a summation ofthe waveforms as observed by all of the transducer elements. However, inthis summation, the waveforms must be differentially delayed so thatthey all arrive in phase at a summation circuit 19 (see FIG. 5).Accordingly, each beam forming circuit 26 in accordance with the presentinvention provides a different time delay on each processing channel,and further varies that delay with time. The signals which are added inphase to produce a focused signal are then forwarded to the dataprocessor and display unit 14.

For each nominal scanning direction, the differential delay required forinformation received by a transducer element 18(k) in the array,relative to the first element 18(1), varies predominantly with k, with asmall correction as a function of time to correct focus for depth. Theoverall control of delay can involve very fine time resolution as wellas a large range of delays. However, for a selected beam formingdirection, this set of delays is achieved by a combination of a coarsedelay in each channel to approximately compensate for direction, and afine delay for each channel which combines the functions of focusing andrefining the original coarse correction.

According to one preferred embodiment of the beam forming circuitry 26shown in operational block diagram form in FIG. 6, each of the beamforming circuits 26 is respectively arranged in a predetermined one ofthe N-parallel processing channels 17(1)-17(N), one for each of thearray of transducer elements 18(1)-18(N). Each beam forming circuit 26includes two cascading tapped delay lines 56(1)-56(N), 58(1)-58(N). Eachcircuit 26 receives as an input a signal from a TGC circuit 25 (see FIG.3). The first delay line 56 in each channel provides a fine time delayfor its received signal, while the cascaded second delay line 58provides a coarse time delay. Each fine delay line has an associatedprogrammable tap-select circuit 57(1)-57(N), and each coarse delay linehas a programmable tap-select circuit 59(1)-59(N), both of which will bedescribed in more detail hereinafter. The tap-select circuits areoperable for effecting a variable delay time as a function of taplocation.

During the operation of the circuits 26, signals which are received byeach transducer element 18 are applied continuously to the input of itscorresponding processing channel 17. The input signals to eachprocessing channel are converted into a sequence of sampled data forinitial propagation through the respective fine tapped delay lines 56.In accordance with a preferred embodiment of the present invention, boththe fine 56 and coarse 58 tapped delay lines are charge-coupled device(CCD) tapped delay lines. Exemplary programmable CCD tapped delay linesare described in, for example, Beynon et al., Charge-coupled Devices andTheir Applications, McGraw-Hill (1980), incorporated herein byreference. Accordingly, in the exemplary configuration of the processingcircuit 26 using CCD delay lines, the input signals to each of theprocessing channels are converted to a sequence of charge packets forsubsequent propagation through the fine and coarse delay lines.

At a predetermined time, which is dependent on the tap location selectedby the system 10, a delayed sample is either destructively ornondestructively sensed from the selected tap of the fine delay line 56.The delayed sample is in turn input to the front end of thecorresponding coarse delay line 58. The selected delay samplesthereafter propagate through the coarse delay line, and are againdestructively or nondestructively sensed at a properly selected taplocation corresponding to a predetermined time delay designated inaccordance with the operation of the ultrasound imaging system 10. Thesensed sampled data from the coarse delay line of each processingchannel is simultaneously summed by a summation circuit 19 to form theoutput beam.

With reference now to FIG. 7, a more detailed operational block diagramof the beam forming circuits 26(1)-26(N) of FIGS. 5 and 6 is shown. Asillustrated, the programmable tap-select circuits 57(1)-57(N) for thefine delay lines each include respective fine tap select circuits60(1)-60(N) and fine tap select memory units 62(1)-62(N). In turn, theprogrammable tap-select circuits 59(1)-59(N) for the coarse delay lineseach include respective coarse tap select circuits 64(1)-64(N) andcoarse tap select memory units 66(1)-66(N).

In accordance with a preferred embodiment of the beam forming circuits,the fine and coarse delay lines have differing clock rates. The finedelay line is clocked at a higher rate than the coarse delay line and istherefore capable of providing a much finer delay time than that of thecoarse delay line. For instance, in an exemplary configuration, eachcircuit 26 has a 32-stage fine tapped delay line clocked at 40 MHz and a32-stage coarse-tapped delay line clocked at 2 MHz. Such a configuredcircuit can provide up to a 16 μs delay with a programmable 25 ns delayresolution. In contrast, it will be appreciated that if a single delayline were used, it would require approximately 640 stages of delays.Furthermore, due to the cascaded delay line structure of the beamforming circuits of the present invention, a local memory of 5-bit wideby 64-stage is adequate for providing the dynamic focusing function fora depth up to 15 cm. However, if a single delay structure were used, itwould require a local memory of 640-bit wide by 1280-stage long.

During operation of an individual beam forming circuit 26, the finedelay line taps are changed continuously by the microprocessor 38 viathe memory 42 (see FIG. 4) during each echo receiving time to providedynamic focusing. The fine tap select circuit 60, in the form of adigital decoder, and the local fine tap select memory 62 are used toselect the desired tap position of the fine delay line 56. For example,the microprocessor instructs the memory 42 to download a data word tomemory 62 to provide a digital address representative of the selectedtap position to the select circuit 60 for decoding. In turn, the selectcircuit 60 effects the sampling of data from the selected tap. In anexemplary embodiment, a 5-bit decoder is used to provide a 32-tapselection.

The tap position of the coarse delay line 58 is set once before eachecho return and is not changed during each azimuth view direction. Aswith the operation of the fine delay line, the coarse tap select circuit64, in the form of a digital decoder, is used in conjunction with thelocal coarse tap select memory 66 to select the desired tap position ofthe coarse delay line.

FIG. 8 shows an operational block diagram of an alternative embodimentof the beam forming circuitry 26 of the present invention in which eachcircuit 26 includes a respective latching circuit 70(1)-70(N) thatgenerates a tap setting signal to each of the fine tap select circuits60(1)-60(N). When the tap setting signal is provided to the fine tapselect circuits, the tap selection will be fixed at the last tap of thefine tap delay lines (i.e. focusing point), thus the dynamic focusingfunction is not operable. This operation is controlled by the imagingsystem in situations where, for example, the imaging point is at adistance from the transducer elements which does not require a precisefine delay time. In this manner, the size of the fine tap select memory62 is reduced.

An exemplary embodiment of the latching circuit 70 in accordance withthe present invention is shown in FIG. 9. In operation, when the latchis set high by the microprocessor 38, digital data from the memory 62will pass through the CMOS passing transistors, and the definedtransistor inverter provides an input to the appropriate tap selectcircuit (decoder) 60 so as to implement the dynamic focusing function.In contrast, when the latch is set low, the passing transistors aredisabled, and thus the inverter output will be latched to the last dataaddress in the memory, i.e., the last tap select position.

Using a 1.2-μm CCD/CMOS fabrication process provided by a conventionallyknown silicon foundry, Orbit Semiconductor, Inc., a prototype 10-channelbeam forming microchip based on the fine/coarse delay architecturedescribed above has been designed and fabricated. Due to the compactnessof each fine and coarse delay line, and the simplification of itscorresponding control circuits, this approach accommodates configuringthe beam forming electronics of a 64-element receiver array to beintegrated on one single microchip.

In the prototypical beam forming microchip of the present embodiment,each processing circuit includes two cascaded programmable tapped delaylines (each 16-stages long), two 4-bit CMOS decoders and a 4×64-bitlocal memory for storing the tap locations. The prototype is configuredwith 10 processing channels, each of which includes the processingcircuit of the present invention fabricated on a single siliconmicrochip. Each processing circuit can provide up to 10 μs ofprogrammable delay with a 25 ns delay resolution. The beam forming chipoperates such that at each azimuth viewing angle, echo return signalsfrom an image point at a given range resolution received by a transducerelement are sampled by the corresponding processing channel. Eachprocessing circuit provides ideally compensated delays to each receivedreturn signal. All of the delayed outputs are then summed together toform a single beam or a focused image point. The chip area associatedwith each processing channel is only 500×2000 μm². It follows that thedynamic beam forming electronics for a 64-element receiver array can beintegrated in a single microchip with chip area as small as 64 mm²,which corresponds to at least three to four order of magnitude sizereduction compared to conventional devices.

The fine/coarse tapping architecture of the present inventionaccommodates a 12 μs delay with a 25 ns resolution with the two cascadedCCD tapped delay lines. Specifically, the architecture includes a first16-stage long delay line clocked at 40 MHz and a second 32-stage longdelay line clocked at 2 MHz. The shorter delay lines and the simplicityof the tapping circuit associated with these shorter delay lines allowsall of the image-generating electronics to be integrated on a singlechip. A single chip performs the electronic focus function for a128-element array with more than two orders of magnitude reduction inchip area, power consumption and weight when compared with conventionalimplementations.

An operational block diagram of another alternative embodiment of thebeam forming circuitry 26 of the present invention is shown in FIG. 10,in which the selected outputs of each coarse delay line 58(1)-58(N) areapplied to respective multiplier circuits 80(1)-80(N) prior to beingprovided to the summation circuit 19. An exemplary multiplier for use inthe aforementioned embodiment of the beam forming circuits is describedin co-pending U.S. patent application Ser. No. 08/388,170, entitled“Single-Chip Adaptive Filter Utilizing Updatable Weighting Techniques,”filed Feb. 10, 1995 by Alice M. Chiang, which is incorporated herein byreference.

The configuration of the multipliers 80 will accommodate the use ofapodization techniques, such as incorporating a conventionally knownHamming weighting or code at the receiving array to reduce the sidelobelevel and generate better quality imagery. Similar to the embodimentshown in FIG. 8, latch circuits 70(1)-70(N) may be included inassociation with each of the beam forming circuits 26(1)-26(N) in orderto control the latching of the tap select position for the fine delaylines 56(1)-56(N). Conventional apodization and Hamming weightingtechniques are described in, for example, Gordon S. Kino, AcousticWaves: Devices, Imaging, and Analog Signal Processing, Prentice-Hall,Inc. (1987), which is incorporated herein by reference.

FIG. 11 shows an operational block diagram of the cascaded dual tappedCCD delay lines used in pulse synchronizers 22(1)-22(N) to introducedelay into individual transmitted signals in the transmit mode of theultrasound system 10 of the present invention. Each pulse synchronizercircuit 22(1)-22(N) includes two cascading tapped delay lines56(1)′-56(N)′ and 58(1)′-58(N)′. The first delay line 56′ in eachprocessing channel provides a fine time delay for the signals to betransmitted, while the cascaded second delay line 58′ provides a coarsetime delay. Each fine delay line has an associated programmable fine tapselect circuit 60(1)′-60(N)′, which receive tap select addresses fromrespective fine tap select memory units 62(1)′-62(N)′. Each coarse delayline has an associated programmable coarse tap select circuit64(1)′-64(N)′, which receive tap select addresses from respective finetap select memory units 66(1)′-66(N)′. The tap-select circuits areoperable for effecting a variable delay time as a function of taplocation.

During the operation of the pulse synchronizers 22 in the transmissionmode, signals which are provided from the microprocessor 38 via thememory 42 (see FIG. 4), are applied continuously to the inputs of eachprocessing channel 17(1)-17(N). The input signals to each processingchannel are converted into a sequence of sampled data for initialpropagation through the respective fine tapped delay line 56. In anexemplary configuration of the pulse synchronizer circuits 22(1)-22(N)using CCD delay lines, the input signals to each of the processingchannels are converted to a sequence of charge packets for subsequentpropagation through the fine and coarse delay lines.

At a predetermined time which is dependent on the tap location selectedby the imaging system, a delayed sample is either destructively ornondestructively sensed from the selected tap of the fine delay line 56.The delayed sample is in turn input to the front end of thecorresponding coarse delay line 58. The selected delay samplesthereafter propagate through the coarse delay line, and are again sensedat a properly selected tap location corresponding to a predeterminedtime delay designated in accordance with the operation of themicroprocessor 38 of the ultrasound imaging system 10. The sensedsampled data from each of the coarse delay lines 58(1)-58(N) are thenconverted and transmitted as ultrasonic pulse signals by thecorresponding transducer elements 18(1)-18(N). In accordance with apreferred embodiment of the present invention, the fine and coarse delaylines of each pulse synchronizer circuit have differing clock rates. Inthe transmission mode, the fine delay line can be clocked at either ahigher or lower rate than that of the coarse delay line in order toaccomplish the desired beam forming and focusing.

In another embodiment of the invention, an adaptive beam forming imaging(ABI) technique is used in both the beam forming circuits 26 and thepulse synchronizer circuits 22 to introduce the appropriate delays toproduce a focused image. The adaptive beam forming technique improvesimage quality and spatial resolution by suppressing artifacts due toscattering sources and clutter in the sidelobes of the transducer arrayresponse. This adaptive beam forming circuitry can also be implementedon a single chip.

ABI is a model-based approach to image reconstruction derived fromsuperresolution techniques. ABI offers improvements in resolution andreduction in sidelobes, clutter, and speckle. Superresolution algorithmsmodified for imaging include the two-dimensional maximum likelihoodmethod (MLM) and two-dimensional multiple-signal classification (MUSIC).ABI incorporates models for the desired backscatter (amplitude andphase), providing better detection performance than conventional imagingmethods.

FIG. 12 is a schematic functional block diagram depicting one embodimentof adaptive beam forming circuits 426 located in the scan head 412 inaccordance with the present invention. In the adaptive beam formingcircuits 426, individual multiplier weights of the finite impulseresponse (FIR) filter are controlled by a feedback loop, in such a wayas to reduce clutter and interference or finite impulse response (FIR)filters. In either case, the adaptive circuits are used to removeclutter and interference such as that caused by ultrasonic signal in thesidelobes of the array pattern to produce an image with much higheraccuracy and resolution.

Each processing channel 428(1)-428(N) of the beam forming circuits 426receives a signal from a respective time-varying gain control (TGC)circuit 25 at a respective tapped delay line 430. The beam formingcircuits 426 includes N processing channels 428, one for each transducerin the array 18. Signals tapped off of each tapped delay line 430 arereceived by a set of weighted multiplying D/A converters 432. Eachprocessing channel k includes M weighted multipliers 432, labelled 432_(k1)-432 _(kM). The weights of the multipliers 432 are set to generatean output signal from each processing channel which is summed at asumming node 419. The summed signal is forwarded over the system cable416 to the system control circuit such as the microprocessor 438 in thedata processing and display unit 414. The microprocessor 438 analyzesthe signal for known characteristics of such effects as clutter,sidelobes and interference. In response to detecting such effects, themicroprocessor 438 generates control signals used to drive themultiplier weights 432 to adjust the signals to eliminate these effectsfrom the output signal and forwards the control signals to themultipliers via the system cable 416 on lines 440. Thus, the adaptivebeam forming circuitry comprises a feedback circuit which altersreceived signals from a tapped delay line of each channel prior tosummation of the signals. The summed signal is sensed and correctionsignals based on the sensing are forwarded in the feedback loop to themultipliers to correct the summed signal.

The ABI results in an image of much higher resolution and overallquality than is obtainable in prior systems. The ABI technique resultsin at least two to three times better resolution than that provided byconventional imaging techniques. As an example, in conventionalultrasound, at a frequency of 5 MHz, a resolution of about 1 mm can beobtained. Using ABI techniques, a lateral resolution of approximately300 μm is obtained.

FIG. 13 is a detailed block diagram of an alternative embodiment of thebeam forming circuits of the invention to those of FIGS. 6 and 12.Referring to FIG. 13, the beam forming circuits 226 can be used fordynamic beam forming and scanning in the receive mode.

As shown in FIG. 13, the beam forming circuits 226 include N parallelprocessing channels 217(1)-217(N), one for each element 18 in theultrasound transducer array (see FIG. 5). Each channel 217(1)-217(N)includes a respective delay unit 202(1)-202(N), a respectiveprogrammable input sampling circuit 204(1)-204(N), respective localmemory and control circuitry 206(1)-206(N) for storing and generatingproper timing for the sampling circuit 204(1)-204(N) and for storing andselecting the proper delay in the delay circuit 202(1)-202(N) for thesampled image data from the sampling circuit 204(1)-204(N).

The beam forming circuits 226 also include a central memory 203 whichstores all of the delay values needed for all of the processing channels217(1)-217(N). In one embodiment, for each scan line, the central memory203 downloads delay data values to the memory and control circuits206(1)-206(N) for all of the processing channels 217(1)-217(N). Thedelay values stored in each local memory 206(1)-206(N) are used tocontrol the sample selection performed by each respective sampleselection circuit 204(1)-204(N) and the sample delay effected by eachrespective programmable delay unit 202(1)-202(N). In one preferredembodiment, each imaging scan line requires a specific set of delays forall of the processing channels, such as in the case of phased array beamforming. In that embodiment, new delay value sets are downloaded to thelocal memories 206(1)-206(N) before each scan line is executed. Due tothe compactness of each delay unit 202(1)-202(N) and the simplificationof its corresponding sample and control circuits 204(1)-204(N) and206(1)-206(N), this approach allows the beam forming electronics of a128-element receiver array to all be integrated on a single chip.

The operation of the beam forming circuits 226 will now be described.Returned echoes received by a transducer 18(1)-18(N) are first amplifiedin a preamplification circuit 24(1)-24(N) and a TGC circuit 25(1)-25(N)(see FIG. 5) and then applied to the input of a corresponding respectivesampling circuit 204(1)-204(N). The sampling rate, f_(s), of thiscircuit 204(1)-204(N) is chosen to be higher than the clock rate f_(c),of the corresponding delay unit 202(1)-202(N), i.e., in one clock periodof the delay unit 202(1)-202(N), there are f_(s)/f_(c) possible samples.In the present invention, one of these f_(s)/f_(c) possible samples isselected and then loaded into the delay unit 202(1)-202(N). Thus, itwill be recognized that uniformly or nonuniformly sampled data can beselected from the returned echoes and loaded into the delay unit202(1)-202(N).

For example, if a sampling rate is eight times faster than that of thedelay clock rate, f_(s)=8f_(c), is chosen, eight sample data points aregenerated during each period of the delay line clock. The selectioncircuit 204(1)-204(N) is used to select one of the eight possiblesamples and to load it into the respective delay unit 202(1)-202(N). Inaddition, a control circuit is incorporated within each delay unit202(1)-202(N) such that a programmable delay with a maximum delay ofM/f_(c) can be provided to each sampled data loaded into the delay unit,where M is the number of delay stages in a delay line of the delay unit202(1)-202(N), as described below in connection with FIG. 15.

At each clock period of the delay unit clock, outputs from eachprocessing channel 217(1)-217(N) are summed together in summing circuit219 to provide a focused image point. The summed signal produced by thesumming circuit 219 is forwarded to an A/D converter where it isdigitized for transmission to the data processing and display device 14,or it can be forwarded in analog form directly to the processing anddisplay device 14.

FIG. 14A is a schematic block diagram of an exemplary embodiment of amemory controlled programmable sample selection circuit 204 of thepresent invention, and FIG. 14B illustrates timing diagrams for thesampling process. In this example, the sampling rate f_(s) is assumed tobe eight times faster than the clock rate f_(c) of the delay time 202,i.e., eight sample data items can be taken from the input waveformduring a given clock period 1/f_(c) of the delay line 202. In thisconfiguration, eight evenly spaced timing windows are defined by thesampling frequency f_(s) within the period of the delay clock 1/f_(c).Under control of the memory and control circuit 206, during each cycleof f_(c), a single sample is taken during one of the timing windows.

The memory and control circuitry 206 includes a three-bit BCD counter216 which is clocked to count at the sampling frequency f_(s). The threeoutputs 218 from the counter 216 provide inputs to a 3-to-8 decoder 220,which provides a high-level output on one of its eight output lines 222when enabled to indicate the decoded decimal value of the BCD inputs. An8-to-1 MUX selects one of the decoder outputs to provide the sampleselect signal on line 1126 to the sampling NMOS transistor 214.

The line selected by the MUX 224 is controlled at its select lines bythe three data outputs 228 of a memory 210. As shown in FIG. 14B, if thememory output word is (0,0,0), a single pulse is provided in the sampleselect signal on line 226 at the first sampling window. If the memoryword is (0,0,1), the single pulse is provided at the second samplingwindow, and so forth. The gate of the NMOS transistor 214 is connectedto the sample select signal. The drain is connected to the inputwaveform (returned echoes), and the source is connected to the delayline 202 to provide the sampled signal data.

The eight 3-bit selecting memory words are stored in addressablelocations in the memory 210. During each cycle of the delay line clock,a location of the memory 210 is addressed via address lines 232 tooutput the selected 3-bit selection word on lines 228 according to thedesired sampling window. The control circuitry 230 sets the addresslines to the appropriate address according to the required samplingwindow location. Upon setting the address lines, the control circuitry230 also sends out an enable signal on line 234 for every period of thedelay clock to enable the outputs of the decoder 220, MUX 224 and memory210 such that the pulse of the sample selection signal on line 1126 islocated at the appropriate window. Since the control circuits 230 canselect a memory address for every cycle of the delay, the spacingbetween samples can be precisely controlled to be uniform or nonuniformor have any desired pattern.

In one embodiment, the control circuits 230 include their own internalstorage circuits which holds the sequence of addresses output by thecontrol circuits 230 to generate the sample pulse during the appropriatetiming windows. The address sequence is downloaded to the storagecircuit from the central memory 230 of the beam forming circuits 226before each scan line is executed. The storage circuit can be a memorysuch as a RAM, or it can be a shift register. In either case, thestorage circuit is clocked at the delay line clock rate f_(c) to outputthe address required to sample data during the correct timing window.

FIG. 15 is a detailed schematic block diagram of an alternativepreferred form of the memory and control circuitry 206A to that shown inFIG. 14A. This alternative form of the memory and control circuit 206Aincludes a storage circuit such as shift register 205. In thisembodiment, the shift register 205 shifts out a 3-bit pre-stored word onevery cycle of the clock of the delay unit 202 at the delay unit clockrate f_(c). The output words shifted out of the shift register 205 onoutput lines 209 are stored in the register 205 before each scan line isexecuted. The words are downloaded from the central memory 203 accordingto the delays which are to be used for the scan line. In one embodiment,the number of words stored in the shift register 205 for each scan lineis equal to the number of focus points along each scan line. In onepreferred embodiment, there are 512 focus points and, hence, 512 3-bitwords. That is, the shift register 205 is a 512-stage 3-bit register.

The memory and control circuitry 206A also includes a 3-bit BCD counter207 which is clocked at the selection sampling rate f_(s). The counter207 outputs 3-bit BCD words in sequence as it is clocked by the clocksignal at the f_(s) rate. In the example described above, the samplingrate f_(s) is eight times the delay clock rate f_(c); therefore, foreach word on the output lines 209 of the shift register 205, the eight3-bit BCD words 0₁₀ through 7₁₀ are output on the output lines 211.

The outputs 209 from the shift register 205 and the outputs 211 from thecounter 207 are forwarded to a comparison circuit 213 which compares thetwo 3-bit words to determine if they are identical. When they areidentical, a match is indicated by the comparison circuit 213 outputtinga positive pulse on output line 1115. The pulse is applied to thesampling NMOS transistor 214 to sample the returned echo signals fromthe appropriate acoustic transducer 18. The discrete-time sampled analogdata is forwarded to the appropriate corresponding delay unit 202.

The positive pulse on line 1115 occurs when one of the 3-bit BCD wordsfrom the counter 207 matches the 3-bit word from the shift register 205.This will occur during one of the eight possible timing windows intowhich the delay line clock rate f_(c) is divided. Hence, the 3-bit wordstored in the shift register 205 determines the window during which thereturning echo data will be sampled. Therefore, to control the delays, apredetermined pattern of 3-bit words is stored in the shift register 205before execution of the particular scan line by downloading from thecentral memory 203.

FIG. 16 is a detailed schematic block diagram of a preferred embodimentof the processing channels 217(1)-217(N) of the beam forming circuits226 of FIGS. 13-15, which shows the details one preferred embodiment ofthe programmable delay units 202(1)-202(N). In this embodiment, eachdelay unit 202(1)-202(N) includes an M-stage programmable tapped CCDdelay line 221(1)-221(N). At each stage of delay, an output is provided;therefore, for each delay line 221(1)-221(N), there are M-paralleloutputs.

In this embodiment, the tapping of each delay line 221(1)-221(N) iscontrolled by a digital parallel decoder 237(1)-237(N) with M outputs.One of the M selectable outputs is selected according to the decodeddecimal value on the BCD input lines 239 from the memory and controlcircuit 206. For example, a 6-to-64 decoder 237(1)-237(N) can be used toprovide an output selection for a 64-stage CCD delay line 221(1)-221(N).At every clock of the delay clock f_(c), a discrete-time analog samplefrom the sample select circuit 204(1)-204(N) is delayed by the delayline 221(1)-221(N) and, hence, provided at the output of the stageselected by the decoder 237(1)-237(N). The delay time for each sampleddata loaded into the delay line can be continuously changed to providedynamic focusing. The sampled and delayed data from all channels217(1)-217(N) is summed in summing circuit 219.

In FIG. 16, the input lines 239 to the decoder 237 are shown coming fromthe memory and control circuit 206. FIG. 17 is a detailed schematicblock diagram of an embodiment of the memory and control circuit 206Bwhich generates the decoder input lines 239. The circuit of FIG. 17 isidentical to that of FIG. 15 except for the generation of the decoderinput line signals 239. In FIG. 17, a preferred 512-stage 9-bit parallelshift register 205A is used in a fashion identical to that of theregister 205 in FIG. 15 to generate the 3-bit word on lines 209 used inthe comparison circuit 213 to generate the sampling pulse in the desiredtiming window. Preferably, a 6-bit word is also output simultaneously onlines 239 and forwarded to the delay unit 202. As described above, this6-bit word is used as an input to the decoder 237 described above toselect an appropriate stage of the tapped CCD delay line 221 tointroduce the appropriate delay into the sampled signal.

As in the memory and control circuit 206A of FIG. 15, the sampling anddelay control words are downloaded to the shift register 205A from thecentral memory 203 prior to the execution of each scan line. In the caseof FIG. 17, where 512 focus points are implemented, 512 9-bit digitalwords are downloaded before the execution of each scan line. As theregister 205A is clocked at the delay unit clock rate f_(c), 9-bitdigital words are output in succession on lines 239 and 209, one 9-bitword at a time. The 3-bit word on lines 209 controls the timing windowduring which the returned echoes are sampled, and the 6-bit word onlines 239 controls the amount of delay introduced into the sample by theprogrammable delay unit 202.

FIG. 18 is a detailed block diagram of a variation on the circuit shownin FIG. 17. The alternative memory and control circuit 206C of FIG. 18reduces the amount of memory space needed in the circuit 206C. Insteadof storing 512 9-bit words, 2-bit words can be used. In this embodiment,instead of storing the actual absolute delays for each focus point, thedifference between adjacent delays and/or the second difference betweenthe first differences is stored. In the case where the second differenceis stored, only two bits are required to store the required delayinformation. Hence, only 2-bit words need be downloaded from the centralmemory 203 and stored by the shift register 205B. In this case, the512-stage shift register is only two bits wide.

Once again, the register 205B is clocked at the rate of the delay clockf_(c). The 2-bit word is output by the register 205B to an integrationcircuit 225 which can include a dual-stage adder circuit used to recoverthe actual delays from the stored first and second difference. Theintegration step generates a 6-bit word on lines 239A, which is used asthe control inputs to the decoder 237 in the programmable delay unit202. The three additional bits generated on lines 209A are used asdescribed above in the comparison circuit 213 to generate a samplingpulse at the appropriate timing window.

Another embodiment of the delay processing circuitry is shown in FIG.19. FIG. 19 is a schematic block diagram of a modification of thecircuitry of FIG. 13 in which a multiplier 250(1)-250(N) is included atthe output of each programmable delay unit 202(1)-202(N). Thisimplementation allows the use of apodization, such as by incorporating aHamming weighting at the receiver array to reduce the sidelobe level andgenerate better quality imagery. The weighting function of themultiplicand of each multiplier is provided by an on-chip buffer memorycontained in memory and control circuits 206(1)-206(N). The outputs ofall the multipliers 250(1)-250(N) are summed together at summing circuit219 to form a beam output. It is important to note the apodization canbe performed either at the input or at the output of the delay unit202(1)-202(N). In FIG. 20, an input weighted delay structure is shown.

In all the implementations described above in connection with FIGS.13-20, the minimum delay resolution is determined by the sampling ratef_(s). Another implementation which provides an effective delay timesmaller than t_(c) is shown in FIG. 21. As can be seen in FIG. 21, afinite-impulse-response (FIR) filter 252(1)-252(N) is added to theoutput of the programmable delay circuit 202(1)-202(N). The FIR filter252(1)-252(N) can be used to generate time-domain interpolated imagesamples and effectively achieve delay resolution smaller than t_(c). Forexample, if four interpolated samples are generated by the FIR filter252(1)-252(N), the delay resolution is then t_(c)/4.

FIG. 22 contains a detailed schematic block diagram of one exemplaryembodiment of an interpolation FIR filter 252 in accordance with theinvention with fixed-weighted multipliers 254. In general, a multiplierrequires two inputs, and the output of a multiplier is the product ofthe two inputs. In a fixed-weight multiplier 254, however, themultiplicand is fixed and only one input is needed. Its output is theinput multiplied by the same multiplicand.

An M-stage delay line 202 is used to hold and shift sampled and delayedreturned echoes. At each stage of delay, there is a bank of Qfixed-weight multipliers 254, i.e., there are M×Q multipliers 254. Thus,as shown in FIG. 22, the multipliers 254 can be viewed as forming atwo-dimensional array having Q rows and M columns. Each multiplier 254_(ij) can be identified by a coordinate i, j, where i is the row ofmultipliers and j is the delay stage of the delay line 202, or column ofthe array.

As can be seen in FIG. 22, all the multipliers 254 on the same columnshare a common input, which corresponds to one of the input samples. Allthe multipliers 254 on the same row share a common output, whichcorresponds to one of the interpolated samples. It follows then, atevery clock, there are Q interpolated samples. A sample select circuit256 can be placed at the parallel output ports to select one of theinterpolated samples and then applies it to the summing unit 219.

FIG. 23 shows the schematic block diagram of another exemplaryembodiment of the interpolation FIR filter 352 with programmablemultipliers 354. Again, an M-stage delay line 202 is used to hold andshift sampled and delayed returned echoes. At each stage of delay, thereis a programmable multiplier 354 _(k), where k=1, 2, . . . , M. As canbe seen in FIG. 20, all the multipliers 354 _(k) share a common outputwhich corresponds to the interpolated sample of the inputs. Time-domaininterpolated samples can be generated based on the programmed weights.

As described above, the ultrasound signal is received and digitized inits natural polar (r,θ) form. For display, this representation isinconvenient, so it is converted into a rectangular (x,y) representationfor further processing. The rectangular representation is digitallycorrected for the dynamic range and brightness of various displays andhard-copy devices. The data can also be stored and retrieved forredisplay. In making the conversion between polar and rectangularcoordinates, the (x,y) values must be computed from the (r,θ) valuessince the points on the (r,θ) array and the rectangular (x,y) grid arenot coincident.

In prior scan conversion systems, each point on the (x,y) grid isvisited and its value is computed from the values of the four nearestneighbors on the (r,θ) array by simple linear interpolation. This isaccomplished by use of a finite state machine to generate the (x,y)traversal pattern, a bidirectional shift register to hold the (r,θ) datasamples in a large number of digital logic and memory units to controlthe process and ensure that the correct asynchronously received samplesof (r,θ) data arrive for interpolation at the right time for each (x,y)point. This prior implementation can be both inflexible andunnecessarily complex. Despite the extensive control hardware, only asingle path through the (x,y) array is possible. This means that fulladvantage of different ultrasound scan frequencies and, hence, imagingdepths, cannot be taken. That is, different data are forced into thesame format regardless of physical reality.

In the scan conversion circuitry 28 of the present invention (see FIG.4), hardware complexity and cost are drastically reduced through the useof a number-theoretic scheme for reliably generating the (x,y) gridtraversal path in natural order, i.e., using the (r,θ) samples as theyare acquired. This approach provides greater flexibility and betterfidelity to the actual medical data, as it permits the array traversalsto be designed so that they do not impose an unnatural imagereconstruction scheme. This scan conversion circuitry 28 of the presentinvention uses a Farey-sequence generator process, which generates the(x,y) coordinates in the order in which they are encountered in thescanning.

Assume that the system received the first two scan rays; it is desiredto identify all the (x,y) integer pairs situated within the wedge for0<y≦L. A process which uses a Farey sequences to generate all (x,y)pairs within two successive arrays with 0<y≦L in the order of increasingangle is described here. The process exploits the fact that certain(x,y) pairs lie along the same angle, so it generates only (a,b) pairswhich are mutually prime and then sets the rest of (x,y) pairs by(x,y)=n(a,b) for n=1, 2, . . . until (n+1) b>L. To better understand howthis is accomplished, let us define a Farey sequence.

-   -   Definition: The sequence of rational numbers whose denominator        does not exceed L, arranged in increasing numerical order, is        called the Farey sequence of order L.        If u/v is a fraction in lowest terms and v≦L, we will call u/v a        Farey fraction of order L. Therefore, Farey fraction is in        lowest terms; thus, its numerator and denominator are mutually        prime. The theory of Farey series is described in detail        in G. H. Hardy and E. M. Wright, An Introduction to the Theory        of Numbers, Oxford University Press, London 1938, pp. 23-24,        which is incorporated herein by reference.

Of relevance to the present invention is the following relationship.

Let a/b, c/d, e/f be three successive Farey fractions of order L and let

$\begin{matrix}{{Z = \left\lfloor \frac{L + b}{d} \right\rfloor},\mspace{14mu}{{{where}\mspace{14mu}\lbrack\;\rbrack} = {{greatest}\mspace{14mu}{integer}\mspace{14mu}{{function}.}}}} & (1)\end{matrix}$

Thene=Zc−a,f=Cd−b.  (2)Equations 1 and 2 permit us to begin with any two successive Fareyfractions and iterate through all the rest within the slice.

A simple example of using Farey fractions of order 10 to generate allthe (x,y) display points within the 46°-54° arc on a 10×10 grid is shownin FIG. 24. Substituting the values for the first two successive Fareyfractions of the order L=10, a=1, b=1, and c=L−1=9, d=L=10 intoEquations 1 and 2, one obtains the next Farey fraction with e=8, f=9.Now, repeating the same calculation with a=9, b=10, and c=8, d=9, yieldsthe next Farey fractions with e=7, f=8. It is straightforward togenerate all the (x,y) pairs within the given arc. If the user wants tomap the same rays into a finer display grid (for example, onto a 20×20display points), we use the same routine but with L=20 i.e., use theFarey function of order 20 to generate all the (x,y) display points.Simple arithmetic will show that the (x,y)-pairs are (19,20), (18,19),(17,18), . . . . As can be seen in FIG. 21, all the grid points withinthe two successive scan lines are generated in natural order ofincreasing angle, i.e.,

$a\;\tan\frac{10}{9}\left\langle {a\;\tan\frac{9}{8}\left\langle {a\;\tan\frac{8}{7}\left\langle {a\;\tan\frac{7}{6}\left\langle {a\;\tan\frac{6}{5}\left\langle {a\;\tan\frac{5}{4}\left\langle {a\;\tan\frac{9}{7}\left\langle {a\;\tan\frac{4}{3}} \right.} \right.} \right.} \right.} \right.} \right.} \right.$

This characteristic allows a scan conversion system that automaticallyadapts to variation in scan angle φ₀. Systems with programmable,non-uniformly spaced scan arrays are possible with the Farey sequenceimplementation. In one embodiment of the invention, the data processingand display unit 14 is programmed to carry out the scan conversionprocess.

As mentioned above, the ultrasound imaging system 10 of the presentinvention also includes a continuous or pulsed Doppler processor 36which allows for generation of color flow maps. Thus, moving targets(particularly flowing blood) can be displayed, letting physicians seethe body's inner functions without surgery.

The generic waveform 111 for pulsed Doppler ultrasound imaging is shownin FIG. 25. The waveform consists of a burst of N pulses with as many asJ depth samples collected for each pulse in the burst. FIG. 25 alsoshows a block diagram of the pulsed Doppler signal processor 36 for thisimaging technique, where the returned echoes received by each transducerare sampled and coherently summed prior to in-phase and quadraturedemodulation at 113. The demodulated returns are converted to a digitalrepresentation at sample-and-hold circuits 115 and A/D converters 117,and then stored in a buffer memory 119 until all the pulse returnscomprising a coherent interval are received. The N pulse returnscollected for each depth are then read from memory, a weightingsequence, v(n), is applied to control Doppler sidelobes, and a N-pointFFT is computed at 121. During the time the depth samples from onecoherent interval are being processed through the Doppler filter,returns from the next coherent interval are arriving and are stored in asecond input buffer.

The integrated Doppler processing device described herein performs allof the functions indicated in the dotted box of FIG. 25, except for A/Dconversion, which is not necessary because the device provides theanalog sampled data function. The remaining circuitry and the operationthereof is described in U.S. Pat. No. 4,464,726 to Alice M. Chiang,issued Aug. 7, 1984, entitled “Charge Domain Parallel ProcessingNetwork,” which is incorporated herein by reference. This pulsed-Dopplerprocessor (PDP) device has the capability to compute a matrix-matrixproduct, and therefore has a broad range of capabilities. The devicecomputes the product of two real valued matrices by summing the outerproducts formed by pairing columns of the first matrix withcorresponding rows of the second matrix.

In order to describe the application of the PDP to the Doppler filteringproblem, we first cast the Doppler filtering equation into a sum ofreal-valued matrix operations. The Doppler filtering is accomplished bycomputing a Discrete Fourier Transform (DFT) of the weighted pulsereturns for each depth of interest. If we denote the depth-Dopplersamples g(k,j), where k is the Doppler index, 0≦k≦N−1, and j is thedepth index, then

$\begin{matrix}{{g\left( {k,j} \right)} = {\sum\limits_{n = 0}^{N - 1}{{v(n)}{f\left( {n,j} \right)}{\exp\left( {{- j}\; 2\;\pi\;{{kn}/N}} \right)}}}} & (3)\end{matrix}$The weighting function can be combined with the DFT kernelto obtain a matrix of Doppler filter transform coefficients withelements given byw(k,n)=w _(k) n=v(n)exp(−j2πkn/N)  (4)The real and imaginary components of the Doppler filtered signal can nowbe written as

$\begin{matrix}{g_{r,{kj}} = {\sum\limits_{n = 0}^{N - 1}\left( {{w_{r,{kn}}f_{r,{nj}}} - {w_{i,{kn}}f_{i,{ng}}}} \right)}} & (5) \\{g_{r,{kj}} = {\sum\limits_{n = 0}^{N - 1}\left( {{w_{r,{kn}}f_{i,{nj}}} - {w_{i,{kn}}f_{i,{nj}}}} \right)}} & (6)\end{matrix}$In equations 5 and 6, the indices of the double-indexed variables mayall be viewed as matrix indices. Therefore, in matrix representation,the Doppler filtering can be expressed as matrix product operation. Itcan be seen that the PDP device can be used to perform each of the fourmatrix multiplications thereby implementing the Doppler filteringoperation.

The PDP device 36 of the invention includes a J-stage CCD tapped delayline 110, J CCD multiplying D/A converters (MDACs) 112, J×K accumulators114, J×K Doppler sample buffer 517, and a parallel-in-serial out (PISO)output shift register 118. The MDACs share a common 8-bit digital inputon which elements from the coefficient matrix are supplied. The tappeddelay line 110 performs the function of a sample-and-hold, convertingthe continuous-time analog input signal to a sampled analog signal.

In operation, the device 36 functions as follows: either the real orimaginary component of the returned echo is applied to the input of thetapped delay line 110. At the start of the depth window, the video issampled at the appropriate rate and the successive depth samples areshifted into the tapped delay line 110. Once the depth samples from thefirst pulse return interval (PRI) are loaded, each element in the firstcolumn of the transform coefficient matrix W is sequentially applied tothe common input of the MDACs 112. The products formed at the output ofeach MDAC 112 are loaded into a serial-in-parallel-out (SIPO) shiftregister 521. The collection of J×K products computed in this fashionrepresent an outer product matrix. These products are transferred fromthe SIPOs to CCD summing wells which will accumulate the outer productelements from subsequent PRIs. The process is repeated until all pulsereturns (rows of F) have been processed.

At this point, each group of K accumulators 114 holds the K Dopplersamples for a specific depth cell. The Doppler samples aresimultaneously clocked into the accumulator output PISO shift registers519. These registers act as a buffer to hold the J×K depth-Dopplersamples, so processing can immediately begin on the next coherentinterval of data. Finally, the accumulator shift registers 521 areclocked in parallel transferring all the depth samples for a givenDoppler cell into the device output PISO shift register 118. Samples areserially read out of the PDP device in range order, which is the desiredorder for flow-map display.

A prototype PDP-A device for 16-depth samples has been fabricated. ThePDP-A can be used to process returns of a burst waveform with as many as16 range samples collected for each pulse in the burst. The capabilityof detecting weak moving targets in the presence of a strong DC clutterhas been successfully demonstrated by the prototype PDP device.

A two-PDP implementation for color flow mapping in an ultrasound imagingsystem is shown in FIG. 26. In this device, during one PRI the top PDPcomponent 120 computes all the terms of the form w_(r)f_(r) andw_(i)f_(r) as shown in equations 5 and 6, while the bottom component 122computes terms of the form −w_(i)f_(i) and w_(r)f_(i). The outputs ofeach component are then summed to alternately obtain g_(r) and g_(i). Asmentioned above, the imaging system of the invention also includes videocompression circuitry 34 which conditions the data and transforms itinto a compressed format to permit it to be transferred to a remotelocation. In a preferred embodiment, the video data compressioncircuitry is of the type described in U.S. Pat. No. 5,126,962 to AliceM. Chiang, issued Jun. 30, 1992, entitled “Discrete Cosine TransformProcessing System,” and U.S. Pat. No. 5,030,953 to Alice M. Chiang,issued Jul. 9, 1991, entitled “Charge Domain Block Matching Processor,”both of which are incorporated herein by reference.

FIG. 27 is a schematic functional block diagram of an alternativepreferred embodiment of the ultrasound imaging system of the invention.In the embodiment of FIG. 27, a multiplexer 319 is added to the scanhead 312 between the ultrasonic transducer array 318 and the drivers 20and preamplification circuitry 24. In this embodiment, signals areprocessed from only a portion of the transducer array 318 at any giventime. For example, with a 128-element array 318, in one embodiment, only64 elements will be processed at a time. The multiplexer 319 is used toroute the 64 signals to the preamplification 24 and subsequent circuits.The multiplexer 319 is also used to route the driver pulses from thedrivers 20 to the 64 elements of the array 318 currently being driven.In this embodiment, referred to herein as the sub-aperture scanningembodiment, circuit complexity is substantially reduced since processingchannels need only be provided for the number of elements which arebeing processed, in this example, 64. Images are formed in thisembodiment by scanning across the transducer array 318 and selectivelyactivating groups of adjacent elements to transmit and receiveultrasonic signals.

During sub-aperture scanning, image quality can be degraded by theintroduction of image clutter caused by energy in the image obtainedthrough the side lobes rather than the main lobe of the array response.To solve this problem, spatial windowing filters are applied to thearray processing to eliminate or reduce the energy from the side lobes.One type of window varies dynamically in width according to the numberof active elements. Another window is a non-varying truncated window.

FIG. 28 is a plot showing the response of both types of windows. In theportable ultrasound system of the invention, the spatial window isdesigned to match the maximum number of sub-aperture array elements andis not dynamically varied with a change in the number of activeelements. The rationale for this implementation is that the reduction inthe received (or transmitted) energy using dynamic-spatial windowingproduces poorer quality images compared with images obtained using atruncated, non-varying spatial window. For both cases, the reduction inimage clutter is nearly equal. Consequently, using a truncated,non-varying spatial window is advantageous because it is simpler toimplement and produces better quality images. For the example shown inFIG. 28 (using a 64-element sub-aperture and a Blackman-Harris window),the dynamic window provides less than half the energy (42%) on transmitor receive of the non-varying, truncated window.

FIGS. 29A and 29B are schematic pictorial views of display formats whichcan be presented on the display 32 of the invention. Rather than storinga single display format as is done in prior ultrasound imaging systems,the system of the present invention has multiple window display formatswhich can be selected by the user. FIG. 29A shows a selectablemulti-window display in which three information windows are presentedsimultaneously on the display. Window A shows the standard B-scan image,while window B shows an M-scan image of a Doppler two-dimensional colorflow map. Window C is a user information window which communicatescommand selections to the user and facilitates the user's manualselections. FIG. 29B is a single-window optional display in which theentire display is used to present only a B-scan image. Optionally, thedisplay can show both the B-mode and color doppler scans simultaneouslyby overlaying the two displays or by showing them side-by-side using asplit screen feature.

FIGS. 30A-30D are schematic diagrams illustrating the relationshipbetween the various transducer array configurations used in the presentinvention and their corresponding scan image regions. FIG. 30A shows alinear array 18A which produces a rectangular scanning image region307A. Such an array typically includes 128 transducers. For each scanline, a set of delays is introduced which define the focus points forthe image. Because the array is linear and the region is rectangular,the delays for each scan line are typically identical. Hence, inaccordance with the present invention, delay values need only bedownloaded from the central memory 203 to the local memory and controlcircuits 206(1)-206(N) once for the entire image. Alternatively, thelinear array 18A can be used as a phased array in which different beamsteering delay values are introduced for each scan line.

FIG. 30B is a schematic diagram showing the relationship between acurved transducer array 18B and the resulting sectional curved imagescan region 307B. Once again, the array 18B typically includes 128adjacent transducers. Once again, the delays introduced for each scanline can be identical or they can be varied to perform a phased arrayscanning process.

FIG. 30C shows the relationship between a linear transducer array 18Cand a trapezoidal image region 307C. In this embodiment, the array 18Cis typically formed from 192 adjacent transducers, instead of 128. Thelinear array is used to produce the trapezoidal scan region 307C bycombining linear scanning as shown in FIG. 30A with phased arrayscanning. In one embodiment, the 64 transducers on opposite ends of thearray 18C are used in a phased array configuration to achieve the curvedangular portions of the region 307C at its ends. The middle 64transducers are used in the linear scanning mode to complete therectangular portion of the region 307C. Thus, the trapezoidal region307C is achieved using the sub-aperture scanning approach describedabove in which only 64 transducers are active at any one time. In oneembodiment, adjacent groups of 64 transducers are activated alternately.That is, first, transducers 1-64 become active. Next, transducers 64-128become active. In the next step, transducers 2-65 are activated, andthen transducers 65-129 are activated. This pattern continues untiltransducers 128-192 are activated. Next, the scanning process beginsover again at transducers 1-64.

FIG. 30D shows a short linear array of transducers 18D used to performphased array imaging in accordance with the invention. The linear array18D is used via phased array beam steering processing to produce theangular slice region 307D shown in FIG. 30D.

FIG. 31 is a schematic functional block diagram of a circuit board inaccordance with the invention. The circuit board 1000 is preferably amulti-layer circuit board about two-by-four inches in dimension. It ispreferably double sided and is populated using surface-mount technology.The circuitry can functionally be divided into a transmission circuit1010 and receiver circuit 1020. The transmission circuit 1010 includes apulse synchronizer circuit 1022 coupled to a high voltage driver/pulsercircuit 1024. The driver/pulser 1024 is connected through atransmit/receive (T/R) switch 1016 to a multiplexer module 1018.

The pulser 1024 generates a series of high voltage pulses under thecontrol of the delay processing circuitry of the pulse synchronizercircuit 1022. The pulses are transferred to the array of transducers 18via the T/R switch 1016 and multiplexer 1018 to generate the ultrasonicsignals. The T/R switch 1016 operates to ensure that the high voltagepulses of the pulser 1024 do not reach the sensitive receive circuitry1020. It provides, via a diode protection structure, overvoltageprotection to the pre-amp TGC circuits in the receive circuit 1020. TheT/R switch 1016 includes isolation electronics used during sub-aperturescanning to isolate unused transducer elements from used elements. Thecircuitry also prevents crosstalk between processing channels caused byspurious signals.

The receiver circuit 1020 includes a pre-amp and TGC circuit module1022, a beam former module 1026 and an optional analog-to-digitalconverter 1027. As illustrated, the pre-amp and TGC 1022 is representedby two chips 1022-1, 1022-2. Each of the pre-amp and TGC chips processhalf of the channels used at a given time. The number of actual chipsrepresenting the pre-amp and TGC circuit 1022 is driven by thefabrication process. Preferably, the pre-amp and TGC circuit 1022 isfabricated as a single chip.

The beam forming module 1026 can include the beam forming circuitrydescribed above in connection with any of the embodiments. The module1026 preferably is formed on a single chip and contains all thecircuitry necessary to perform the beam forming functions describedabove.

The transmission circuit 1010 and the low voltage receiving circuit 1020can each be fabricated as a single chip. By reducing the chip count inthe circuit, the size of the circuit board 1000 can be reduced. Thecircuit board 1000 also contains surface mount discrete components, suchas resistors, capacitors, inductors, et_(c), or their integratedequivalents.

FIG. 32 is a cross-sectional schematic diagram of one embodiment of alinear scan head shown partially in cross section. The scan head 1030 isenclosed by a plastic housing 1032. As illustrated, a circuit board1000A is held in place within the housing 1032 by supporting members1034. The circuit board 1000A connects to a bus connector 1036, which isconnected by a flexible ribbon cable or printed flex cable 1037 to alinear array of transducers 1038. A coax cable connector 1035 couplesthe scan head 1030 to external electronics. Alternatively, a connectorfor twisted pair conductors can be used.

FIG. 33 is another cross-sectional view of the scan head 1030 of FIG.32. As illustrated, the supporting members 1034 hold two double sidedcircuit boards 1000A, 1000B. Two or more boards can be single or doublesided, and stacked side-by-side or offset to maximize use of theavailable space, depending upon the specific application. The circuitboards are separated by a heat conducting layer 1045 which acts as aheat sink for the circuitry. A heat conductor filler can also beinserted within the housing The supporting members 1034 are preferablyfabricated from a low friction material such as teflon to facilitate theinsertion and removal of the circuit boards 1000A, 100B. Each side ofthe circuit boards can preferably process 64 channels of informationfrom the transducers 1038. Therefore, as illustrated, two double sidedcircuit boards 1000A, 1000B can support 256 transducers.

FIG. 34 is a preferred embodiment of a curved transducer scan head shownpartially in cross section. The scan head 1040 is formed by a plastichousing 1042. Note that the handle section can have an external ribbingto provide a better gripping surface and optionally can be used to ventheat from the housing. A circuit board 1000A is held in place by teflonsupport members 1044. The circuit board 1000A is connected to a coaxconnector 1035 (or a twisted pair connector) and a bus connector 1046.The bus connector 1046 is connected to a curved array of transducers1048 by a printed flex cable 1047.

FIG. 35 is a schematic diagram of an insertable ultrasonic probe shownpartially in cross section. The probe 1060 is defined by a plastichousing 1062 divided into an elongate probe for insertion into a lumenor body cavity and a handle section to be gripped by an operator. Acircuit board 1064 is secured within the handle of the probe 1060 and isconnected to a coax connector 1065 and to an array of transducers 1068.Except for being smaller in size to fit with the handle, the circuitboard 1064 is functionally identical to the circuit board 1000 of FIG.30. Preferably there are 128 transducers (N=128) in the array 1068. Inthat case, a double-sided circuit board 1064 having 64 channels ofprocessing on each side is sufficient to operate the probe.

FIG. 36 is a block diagram of the software required to operate theultrasonic devices described herein. Illustrated is ultrasonic scanner1072 and a user display 1078. A signal processing module 1074 provideshardware specific control such as control of digital signal processors,custom chips and system timing. The user display 1078 is driven by agraphical user interface (GUI) 1076, such as those compatible withwindows operating systems. A virtual control panel 1075 provides aninterface between the graphical user interface 1076 and the hardwareinterface 1074.

A typical display provides the user with the capability to freeze aframe of data, print a frame of data, or archive a frame of data to adisk. The user can also highlight a region for color doppler imaging andaudio doppler processing. The user can also manually vary the receiveddata as a function of depth. Preferably, there are eight depth zones.The user can also vary the number of transmission focal zones (from 1-8zones), vary the image contract and the image brightness.

More specifically, the user can select an imaging mode. A B-mode isprovided to adjust brightness or conventional image display. A C-mode isprovided to control color doppler flow either as an overlay or as aside-by-side image. An M-mode is provided to control time-varyingdoppler images in an independent image mode. An audio doppler mode canbe set to either on or off to supplement the B-mode and C-mode displays.

The user can also set up the transducer array to determine image displaysize and shape. Selections are based on whether the transducer array isa curved-linear, linear or phased array.

The user can also enter and display patient information. The patientdata is then is then used to label the displays. The computer used toprovide display of the images can be programmed with a software moduleto display patient management and imaging data in a Windows format. Theuser is presented with a variety of pull down menus operated with amouse.

The user can also set up the imaging mode based on the particularapplication of the scanner. The user can adjust the image depth andtransmission power automatically based on whether the imaging is forcardiac, radiologic, obstetric, gynecological, or for peripheralvascular applications. The user can also set the image depth andtransmission manually for custom applications.

Another preferred embodiment of the invention relates to an ultrasoundimaging device having two or more adjacent rows of transducers to form atwo dimensional transducer array. As illustrated in the hand-held device600 of FIG. 37, the transducer section 606 of the housing 600 containsthree rows 608, 610 and 612 of transducers. The rows 608, 610 and 612can be of different lengths. For example, rows 608 and 612 can beshorter than the middle row 610 (e.g. the middle row can be 1.5 timesthe length of the shorter row). The spacing between adjacent rows canalso be the same or greater than the spacing between transducers withinany given row. The coarser inter-row spacing can provide effectivefocusing of the ultrasound signal emitted by the transducer array. Asdescribed in connection with previous embodiments each row oftransducers can be connected to the chip carrier or circuit board in thehousing using one or more flex cables.

Another preferred embodiment of the invention relates to a portableultrasound stethoscope system 700 illustrated in FIG. 38. This systemincorporates a transducer array, synchronizing and driver circuitry forthe array and beam forming circuitry in the acoustic sensor housing 704,or chestpiece, of the stethoscope.

The sensor housing 704 of the stethoscope is connected to two earpieces712 to provide audio information to the user. A central tube 705connects housing 704 to Y-connector 707. The earpieces 712 are mountedon tubes 706, 708 that extend from Y-connector 707. A connector housing702 connects the stethoscope to the cable 710. The connector housing 702can be integrally formed or attached to Y-connector 707 or it can beattached to housing 704. A transducer mounted in the Y-connector 707 canbe used to generate audio that is delivered along tubes 706, 708 toearpieces 712. The stethoscope can be used to provide standard acousticinformation, electronic audio information, and/or ultrasoundinformation.

The beam forming circuitry in the sensor housing 704 of the stethoscopegenerates a spatial representation of a region of interest that isdelivered along cable 710 to a hand-held display device 714 such as apersonal digital assistant. The display housing 714 contains a processorfor generating ultrasound images as described previously herein,preferably an M-mode display or a Doppler display. The user can generatesimultaneous audio and image data of the region of interest which can bestored in memory or transferred by modem along cable 720 to a separatesystem. Power can be provided by a battery within the display housing714, within the sensor housing 704, or within the connector housing 702.The housing 714 can include a flat panel display 716 such as a liquidcrystal display and a user interface 718 such as a keypad or mousecontrol.

Another preferred embodiment of the invention is the ultrasound system800 illustrated in connection with FIGS. 39A and 39B. In this embodimenta transducer element or array 802 is secured to a patient's skin 810with a patch 805. The patch 805 can have an adhesive border 806 tosecure the patch 805 to the skin of the patient. The array 802 isconnected by cable 808 or wireless connection to a body worn housing 804which can record and/or transmit the data to another receiver location.The patch can have a single transducer element, or a single ormultilinear array as described previously, or can have an annular array812 as depicted in the patch 814 of FIG. 39B. The patch can include beamforming and focusing circuitry as described previously in the presentapplication. Power to the transducer system and associated circuitry canbe provided using a battery that can be located within housing 804.

Another preferred embodiment of the invention relates to a flexibleultrasound probe or catheter system for insertion into body lumens orcavities. Such a system 900 is illustrated in connection with FIGS. 40Aand 40B. System 900 includes a flexible shaft 902 having a proximal end905 connected to housing 904 and a distal end 907. Processing circuitryas described previously is located within housing 904. Housing 904 isconnected to a user interface 906 and a display 908 with cable 910. Thedistal end 907 of the probe shaft includes a distal section 912 in whichthe transducer array 918 and a chip carrier or circuit board assembly916 are located. The chip carrier 916 is connected to a cable 920 thatdelivers control signals to the pulse synchronizer, driver circuits, andbeam forming and focussing circuits as described previously in theapplication and delivers the summed electrical representation of theregion of interest to the processing circuitry in the housing 904. Theouter wall 922 of the shaft is sealed to isolate internal componentsfrom the working environment. The transducer array can be radiallydirected, or alternatively, can be distally directed along the catheteraxis. A lumen 914 can be optionally included to provide for use with afiber optic viewing system, a guidewire, or other treatment or surgicalinstruments.

While this invention has been particularly shown and described withreferences to preferred embodiments thereof, it will be understood bythose skilled in the art that various changes in form and details may bemade therein without departing from the spirit and scope of theinvention as defined by the appended claims.

1. A portable ultrasound imaging system comprising: a plurality ofultrasound probes having different scanning transducer arrays, at leastone of the plurality of ultrasound probes having a transducer array withat least 128 transducer elements; and a handheld display deviceconnectable to each of the plurality of the ultrasound probes, thehandheld display device including an ultrasound image flat paneldisplay, a user interface, a processing system configured to processbeamformed image data to provide Doppler data, a memory configured tostore beamformed image data in the handheld display device and abattery, the beamformed image data being generated by an integratedcircuit with a plurality of selectable delay settings, such that each ofthe plurality of ultrasound probes having different scanning transducerarrays has a different selection of delay settings.
 2. The portableultrasound imaging system of claim 1 wherein the handheld display devicecomprises a personal digital assistant.
 3. The portable ultrasoundimaging system of claim 1 wherein the processing system is configured tooperate display processing software.
 4. The portable ultrasound imagingsystem of claim 1 wherein the handheld display device further comprisesa second memory configured to store beamformer control data.
 5. Theportable ultrasound imaging system of claim 1 wherein the portableultrasound imaging system is configured to generate audio information.6. The portable ultrasound imaging system of claim 5 wherein the systemcomprises a stethoscope.
 7. The portable ultrasound imaging system ofclaim 1 wherein the user interface comprises a keypad.
 8. The portableultrasound imaging system of claim 1 wherein the user interfacecomprises a mouse control.
 9. The portable ultrasound imaging system ofclaim 1 wherein the handheld display device further comprises a graphicuser interface.
 10. The portable ultrasound imaging system of claim 1wherein the system weighs less than 10 pounds.
 11. The portableultrasound imaging system of claim 1 wherein the handheld display devicehas a volume of less than 1000 cm³.
 12. The portable ultrasound imagingsystem of claim 1 wherein the handheld display device comprises a scanconversion circuit.
 13. The portable ultrasound imaging system of claim1 wherein the handheld display device further comprises a Dopplerprocessor.
 14. The portable ultrasound imaging system of claim 1 furthercomprising a scan conversion computer program.
 15. The portableultrasound imaging system of claim 1 further comprising a battery in thehandheld device providing power to the ultrasound image flat paneldisplay.
 16. The portable ultrasound imaging system of claim 1 whereinthe integrated circuit has a plurality of channels.
 17. The portableultrasound imaging system of claim 1 wherein the integrated circuitfurther comprises a plurality of beamforming integrated circuits eachhaving a plurality of charge coupled device delay channels.
 18. Theportable ultrasound imaging system of claim 7 wherein the transducerarray has 64, 128 or 256 elements.
 19. The portable ultrasound imagingsystem of claim 1 wherein the user interface further comprises a virtualcontrol panel.
 20. The portable ultrasound imaging system of claim 1wherein the display has a plurality of display windows.
 21. A method ofusing a portable ultrasound imaging system comprising: selecting scanparameters for a first ultrasound probe that includes a first transducerarray connected to a handheld display device configured to communicatewith the first ultrasound probe, the handheld display device furthercomprising an ultrasound image flat panel display, a user interface, abattery, a processing system configured to process beamformed image datato provide Doppler data, a memory device configured to store image dataand different scan parameters for a plurality of different ultrasoundprobes having different transducer arrays, at least one of the differentultrasound probes having a transducer array with at least 128 elements;performing a first ultrasound scan with the first ultrasound probe toimage a region of interest within a body; attaching a second ultrasoundprobe to the handheld display device, the second ultrasound probe havinga second transducer array from among the different transducer arrays;selecting different scan parameters using the handheld display devicefor the second transducer array, including altering the delay settingsof an integrated circuit beamformer device; and performing a secondultrasound scan with the second ultrasound probe to image a region ofinterest.
 22. The method of claim 21 further comprising using thehandheld display device that comprises a personal digital assistant. 23.The method of claim 21 further comprising storing beamformer controldata in a second memory of the memory device in the handheld displaydevice.
 24. The method of claim 21 further comprising displayingultrasound scan images on the display wherein the portable ultrasoundimaging system weighs less than 10 pounds.
 25. The method of claim 21further comprising pulse synchronizing pulses emitted by each transducerarray.
 26. A method of using a portable ultrasound imaging systemcomprising: selecting scan parameters for a first ultrasound probeincluding a first transducer array connected to a handheld displaydevice that communicates with the first ultrasound probe, the displaydevice further comprising an ultrasound image flat panel display that isrotatably attached to a processor housing, the processor housing havinga control panel and a processing system that processes returned echoesto provide beamformed image data and Doppler data, the processor housingcontaining a battery, and a memory device that stores image data anddifferent scan parameters for a plurality of ultrasound probes havingdifferent transducer arrays, at least one of the ultrasound probeshaving a transducer array with at least 128 elements; performing a firstultrasound scan with the first ultrasound probe to image a region ofinterest; attaching a second ultrasound probe to the handheld displaydevice, the second ultrasound probe having a second transducer arrayfrom among the different transducer arrays; selecting different scanparameters using the handheld display device for the second transducerarray, including altering the selectable delay settings of a beamformerdevice; and performing a second ultrasound scan with the secondultrasound probe to image a region of interest.
 27. The method of claim26 further comprising using the handheld display device that comprises apersonal digital assistant.
 28. The method of claim 26 furthercomprising storing beamformer control data in a second memory of thememory device in the handheld display device.
 29. The method of claim 26further comprising using the system that weighs less than 10 pounds. 30.The method of claim 26 further comprising pulse synchronizing pulsesemitted by each transducer array.
 31. The method of claim 26 furthercomprising using the first transducer array wherein the first transducerarray has at least 128 elements.
 32. A portable ultrasound imagingsystem comprising: a plurality of ultrasound probes that includedifferent scanning transducer arrays, at least one of the plurality ofultrasound probes having a transducer array with at least 128 elements;and a handheld display device connectable to each of the plurality ofthe ultrasound probes, the handheld display device further comprising anultrasound image flat panel display that is rotatably attached to aprocessor housing, a user interface, a processing system within theprocessor housing that processes beamformed image data to provideDoppler data, a memory in the processor housing that stores image dataand a battery, the beamformed image data being generated by one or moreintegrated circuits, each integrated circuit configured with a pluralityof selectable delay settings, the delay settings being adjustable todifferent delay settings for each of the plurality of ultrasound probeshaving different scanning transducer arrays.
 33. The portable ultrasoundimaging system of claim 32 wherein the memory comprises: a first memorydevice configured to store the image data and a second memory deviceconfigured to store selected delay settings for the ultrasound probeconnected to the handheld display device.